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HomeMy WebLinkAboutNCS000030_MONITORING INFO_20181213STORM WATER -DIVISION CODING -SHEET PERMIT NO. N cS Dioq DOC TYPE ❑ FINAL PERMIT K MONITORING INFO ❑ APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ YYYYM M DD .We, oe.) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number NCS 000030 FACILITY NAME _Air Products and Chemicals Inc. PERSON COLLECTING SAMPLE(S) _J. Powers CERTIFIED LABORATORY(S) _PACE Analytical Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Rockingham PHONE NO. (_336 ) 349-2962 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall Date 50050 00400 00556 00530 No. Sample Collected Total Flow if a Total Rainfall pH HEM Oil & Grease Total K,jeldahl Nitrogen Nitrogen, NO2/NO3 Total Nitrogen TSS mo/dd/ r MG inches m IL in IL m L m /L m /L 001 10/26/18 0.203861167 1.0 7.07 ND ND 0.39 0.83 7.4 Mr y � v CE JTRAL FILES DV IR SECTION' Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _X_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/ddl r MG inches m /l m /l unit al/mo 001 10/26/18 0.203861167 1.0 NA ND 7.4 7.07 75 Form SWU-247, last revised 21212012 Page I of 2 STORM EVENT CHARACTERISTICS: Date _10/26/18 Total Event Precipitation (inches): _1.0 Event Duration (hours): _8 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable— see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." x - -- tag- (I2) (Signature1of Per ittee) (Date) SeA'.: A- C-,u'fir~'t�u T C�al�sf Form SWU-247, last revised 21212012 Page 2 of 2 ceAnaocal' YrMM.peL9fLDS.t?Pri! November 12, 2018 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: STORMWATER Pace Project No.: 92405137 Dear Mr. Owens: (COPY Pace knalytical Serviep, LLc 205 Es d [meadow Road - Stite A Eden, NC 27PW Enclosed are the analytical results for sample(s) received by the laboratory on October 29, The results relate only to the samples included in this report. Results reported herein confor most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Man where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Clayton McCrickard clayton.mccrickard@pacelabs.com (336)623-8921 Project Manager Enclosures REPORT OF LABORATORY ANALYSIS Tlve report shalt not be reproduced, exospt in U, vAum t the written earoent of Pace Artaly&W Services, i1C. 18. to the Pape 1 of 12 AlR L PRODUM L—� DELEGATION OF CORPORATE AUTHORITY TO NON -OFFICER POSITION'S lz 1 jipE] The undersigned, Geo_ffrev P. Wyatt, In my capacity as Vice President - Global Product Suooly. Gases and Btauiament Group of Air Produgig find C emi is Inc., pursuant to resolutions of the Board of Directors, hereby delegates authority as described herein below to the following non -officer posiUon(s): POSMON Tr rU AND COMPANY See attached Page 2 for list of position titles MAYJM.UM VALUE NIA DESCR1P'nON OF AUTHaR1TY Authority to execute permit applications, permit related submissions and documents, and all routine filings and documents required by local, state, and federal regulatory agencies or authorities pertaining to environmental, health and safety compliance for the APCI facilities. ❑ibis aulhorty may be subdelegated with the Mlowfng reaftt ons of aro: This auftr ty may not be aubdel 4M&i to take effect when countersigned by the Corporate Secretary or any Assistant Corporate Secretary and to continue in effect for so long as the designated position title(s) remain unchanged, or until such authority shall be revised or revoked by notice thereof by the undersigned, his or her successor in office, or the person to whom the designated position(s) report. ✓ �f✓ &j Sigmature Dark Countersigned by: carp �A�:�t ca��r� satza�.1;�t4 AIR L - RELEGATION OF CORPORATE AUTHORITY TO NON -OFFICER POSITIONS Page 2 Delegati® No. Inc POSITION TITLE AND COMPANY I (each 3�ra'nsactiMUM VALU tact} PSO Global CPI Manager Operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plat Superintendent Construction Manager Environmental Manager EH&S Manager Manager - Field EH&S Regional EH&S Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer EH&S Specialist Senior EH&S Specialist Principal EH&S Specialist Senior Principal EH&S Specialist Lead EH&S Specialist Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmentai..Specialist *In addition to the titles fisted above, the following individuals, who may hold one of the titles listed above, should also be included: Jeffrey L. Henninger Joseph T. Succella Keith B. Adams Damian J. Maminek Gerard P. Thompson Michael R. Wambaugh Farm 3999.2 ala'. 71961 NIA AIR FRODPM X= Air Products and Chemicals, Inc. 2 Gulf States Utility Rd. Baton Rouge, LA 70805 Telephone (225) 355-4613 Certified mail: return receipt requested June 1, 2018 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: NCS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 RECEIVED Dear Sir or Madam: JUN 0 6 2018 CENTRAL FILES DWR SECTION! Enclosed please find one original and one copy of the Spring 2018 Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. A copy of the cover page from the analytical lab report is included to provide evidence the DMR is being submitted within the 30 day requirement. If you have any questions regarding this submission or require additional information, please feel free to contact me directly at (225) 355-4613 x-11 or via email at arcenesj@airproducts.com. Sincerely, A* oj'c't-_4� Stephen Arceneaux Sr. Environmental Specialist Air Products and Chemicals, Inc. Industrial Gas Organization Baton Rouge, LA Cc: Levi Owens —Air Products, Reidsville Site Supervisor Permit Number NCS 000030 FACILITY NAME _Air Products and Chemicals INC. PERSON COLLECTING SAMPLE(S) __J. Powers_ CERTIFIED LABORATORY(S)—PACE Analytical_ Part A: Specific Monitoring Requirements STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: 2018 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY Rockingham PHONE NO. (_336) 349-2962 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 00400 00556 00530 Total Flow if a Total Rainfall pH HEM Oil & Grease Total Kjeldahl Nitrogen Nitrogen, NO2/NO3 Total Nitrogen TSS mo/ddl r MG inches m IL m /L m /L m IL m /L 001 04/24/18 0.30579175 1.5 7.12 ND ND 0.27 0.58 4.3 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _X_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage - moldd/ r MG inches m I m I unit allmo 001 04/24/18 0.30579175 1.5 NA ND 4.3 7.12 75 Form SWU-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date _4/24/18 Total Event Precipitation (inches): _1.5 Event Duration (hours): _6 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ' AW4, k GAtA.-5L2 4(((tB - (Signaturi of Pe ittee) (Date) S#_A► yX_ Er ,. at �0.t:a<i5{` Form SWU-247, last revised 21212012 Page 2 of 2 €E r 3 3 B IS t 5e`i� F f .i I � XI.- DRUWUOn of AUMM-It ► to N=V-C eer PaSM-Mes Qpermbwm Mansgar tug! aft" t .su A2mtmu We Mougm Sae swomgw Ptah! ?4"K cm*tcvm dal momm an4orwrwntw ruqpmw SerwrPdrmapWSnvVomn*kWEngauw L*ad&whmwrtdEn~ t3peata " �rGOr QI'1YOIC�Im��1ti1 S'st swbr pIt14d ftm*wmftr" Spemm 1Y/ 14�w,,.,sRriwnn�w�s+��.Id KfA r mil* f wercp�f�sc+am f May 08, 2018 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: STORM WATER Pace Project No.: 92382285 LUK Pace =ee.LLC 205 East Meadow Road - Su1W A Eden, NC 27=1 Dear Mr. Owens: Enclosed are the analytical results for sample(s) received by the laboratory on April 25, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNUNELAC standards and the laboratorys Quality Assurance Manuel, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, 4 Clayton McCrickard clayton.mcc rickard@pacelabs.coin (336)623-8921 Project Manager Enaosurm (0repOF LABORATORY ANALYSIS otREPORT This w s6 not be reprodmccL exoept in full, *Mx t tha wAttan wownt of race An* tat Serrioes. LLC. Pape 1 of 13 AIR PRODUCTS Z= Air Products and Chemicals, Inc. 2 Gulf States Utility Rd. Baton Rouge, LA 70805 Telephone (225) 355-4613 Certified mail: return receipt requested November 9, 2017 Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: NCS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: Enclosed please find one original and one copy of the Fall 2017 Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. If you have any questions regarding this submission or require additional information, please feel free to contact me directly at (225) 355-4613 x-11 or via email at arcenesj@airproducts.com. Sincerely, Stephen Arceneaux Sr. Environmental Specialist a? Air Products and Chemicals, Inc.F/��>> Industrial Gas Organizationcr1 <F� Baton Rouge, LA 0 l Cc: Levi Owens — Air Products, Reidsville Site Supervisor AN Permit Number NCS 000030 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME _Air Products and Chemicals INC. PERSON COLLECTING SAMPLE(S) _J. Powers CERTIFIED LABORATORY(S) _PACE Analytical Lab # 460025_ Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory_) COUNTY Rockingham PHONE NO. (_336) 349-2962 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 00400 00556 00530 Total Flow if a Total Rainfall pH HEM Oil & Grease Total Kjeldahl Nitrogen Nitrogen, NO2/NO3 Total Nitrogen TSS molddl r MG inches m /L m /L m /L m /L m /L 001 10/16/17 0.203861167 1.0 7.05 ND ND 0.33 0.77 17.1 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? X_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage molddl r MG inches m /I mg/1 unit allmo 001 10/16/17 0.203861167 1.0 NA ND 17.1 7.05 75 Form SWU-247, last revised 21212012 Page 1 of 2 r,0 STORM EVENT CHARACTERISTICS: Date _10116/17 Total Event Precipitation (inches): _1.0 Event Duration (hours): _5 (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r((a((-7 (Signatu a of Pef ittee) (Date) 5C._ 6^uV�onr.art�l �0ec.wa(is t' Form S W U-247, last revised 21212012 Page 2 of 2 MODue 2L ODefspeHon ofA&gharffy to Mary-Gffkar PpwHIO s r•Y M1�.f1�� The weasel Vied. Robert 0. t7rkrr_ in rsgr cap" as Vee Presrdant — Global t nan jadao of g: M,eu arid_ gbff**!L kr- pursueru b the Ddnau = of Aul<tprhy Pfl6Cy, hereby daWples atrthartfy as desciftd holes below to the tdbM" non-owcer pwftn(s}. FOWTW TMAM CflN: Wa U VALUE Rh See atUChed Fag= 2 for W at posman On WA DISMIPftOrr OF AUTHOaW Authority to e;ecule pendt appli<aftu. psr ra rotated svbrrMkm and dcownertts. and routine Mmgs and downents required by twat, elate. and federal regulatory age or;aAhMTes pertairanp to enviro4trnenlat. health, and safety corrtprlanm for the Wows Barre, Gsrdnsr, Criwan tdtary and Prom Mesnbranas f8c tes OTtn My cm auoaafaparad w4h wa raaor+M fawrWOM br OMYI W tM- err "M► not &W>x bdarasaua. to take effect when courdetttlgtwa by Me Corporate Searelary or arty Assist'W Corporals Secretary and to cornir" to effect far to " as the designated pasmon titta(sy ramain tr'TohsrMpd. or uM ouch atuMcrity shah be nrnxcd or revoked by tctme thereof by flee undermigns a he or het st =Mor ei office. or RM p VWM to whm the de sled poswgwgs) report.(/ 21, C }� SWPA ma LAN Dow Coun ig=f by- ll+w- .,v. ttniA�h t t rooma trrrrs.ur %nlc S—r 5 Un *.1 ow"µv*.MyMA r via I. Paccu 7SAt/� 2L Detagation of Authority to Non4 ffreer Pasltio"s Pr]snm TITLE OperatW" manns- LneAftmagw She mvm% er Assahm She Mir We Suparvlsor plane mmagor As#bunt Plant Manager Plant Ss�rhrtetrdsrt! Cortshm4ion Manager £e+Mrorrr�rr[ei Manager Ernr=Wwtal Ett;hw senior 6rwkOAnvneel Engineer Principal Environmental Engh m Settler Prtnoriral Errvirorrrrmrdm 6ngmaer Load &wftmnimful EnWw r EnWr4rmw tat SpecWbt so=Envemmutw specia6at Print 4w EM&CMnental Specialist SQ*W Princtpat Envkcrtare nbW Spmaiia Fw� � 541M>�1�/9'ISI�w1b)F�lVMTII �Lil It] MIA Permit Number NCS 000030 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT SAMPLES COLLECTED DURING CALENDAR YEAR: 2017 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME _Air Products and Chemicals INC. I1 ,ED PERSON COLLECTING SAMPLE(S) _J. Powers V CERTIFIED LABORATORY(S) _PACE Analytical Lab #�N 2011 Lab # Part A: Specific Monitoring Requirements CENTRAL FILES DWR SECTION COUNTY Rockingham PHONE NO. (_336 ) 349-2962 SIGNATURE OF PERMITTEE OR DESIGNEE REQUIRED ON PAGE 2. Outfall No. Date Sample Collected 50050 00400 00556 00530 Total Flow if a Total Rainfall pH HEM Oil & Grease Total Kjeldahl Nitrogen Nitrogen, NO2/NO3 Total Nitrogen TSS mo/dd/ r MG inches m IL m IL m IL m L m /L 001 05/23/17 0.407722333 2.0 7.10 ND ND 0.22 0.28 11.0 Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _X_ yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Acti ity MonitoringRe uirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/ddl r MG inches m /I m /l unit al/mo 001 05/23/17 0.407722333 2.0 NA ND 11.0 7.10 75 Form S W U-247, last revised 21212012 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date _5/23/17 Total Event Precipitation (inches): —y if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." C �567 (Sig,A441nature of Permittee) (Date) Form SWU-247, last revised 21212012 Page 2 of 2 ARM PMMUC w Qe/ effam of Aufhorify fa Nan-Offkar Pcwiftns Py. nay nrr. rr. The Ixll Wmgnttd. Robart O Canter_ in my caWq as Vca PMgWI ; a[&&, E.. �._.�Matef lne of � fists ir1C.. prwsuaM 10 ete DelsPft" of AyllYOfiy PcScy, hereby deW Ales authvnty as descrt0ed hsnn befaw 10 the fal mmg mm-a m pos ti n(3, POEIrm THE AKD comppay MAX74rW VALUE Sea ftwhed Pays 2 tar ist of ppsa m tilkm WA CE MPnOM OF AUrtOZFM Authar0y to amaut+e pwn* appkarmu. pWMR mW tsd subattsisiora srxf dwAMUs, and rvuttnrt filings and docaxmnts roquired by total, state. "federal rogutatory ap nchs or auth=Tm perkwwtg to environmentat he8hh, and safetycarr>pbmofor the Wfts 8eme, Gardner, Cry"thiury and Pmm Meanbranas irraldws 13Tlaa ao OMY retry ue S.Wo o Md -ah Ra isift tn toM of RV ®T)ra NUftMry FMV FM tO fttftN M4 to fsite gffect rad7en Cai>f7fer3t$rtatl by file Corporate 5er�tsry ar arry AssErtent {:arpafilB $eCretary iHd la TAfi11fWE m effect far so tong as ftte +yesi"ed ppSMM ftldep) remain w ch:rtged. or umd such autherlty 51=4 be nmoW Or mvohed by mme IherW by the undarsWv4 to or hat sumn3or M off M or the p"m to whom me desrpr o*d pasittart(s)rew.�. )(""2-0,!�—Pkle-7 ogle P.owterwgned by tAM.lir: ltr►i� 1 ei r9araO•trrrrl.rr� r f> e $—a, L11.4.- jAri•..,1,/{l,p1Mi�1 .44 3 Pace Anelytical SWVI W, LLC • 205 Esst Meadow Read - Sutte A e�0� Eden, NC 27288- (336)623-8821 June 07, 2017 Mr_ Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project Stormwater Pace Project No.: 92341712 Dear Mr. Owens: Enclosed are the analytical results for sample(s) received by the laboratory on May 24, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, pg-- Term Page for Clayton McCrickard clayton. mccrickard@pacelabs.com (336)62"921 Project Manager Endoeums REPORT OF LABORATORY ANALYSIS This report dW not be reproduced, except in full, wtthout the wittfen ooneent of Pace Analytical SeNces, LLC. Page 1 0113 �nrtpeoebb`oom I Project Stommater Pace Project No.: 92341712 Paco Ana"cat Sorvieea, LLC 205 last Usadow Road - SufteA Eden, NC 2rM' (33eP23-6921 Charlotte CwWcadon IDs 9800 Klnoey Ave. Ste 100, HunWavtlle, NC 28M North Carolina Drirddng Water Certification t. 37708 North Carolina Field Services Cer1iicabon ttl• 5342 North Carolina Wastewater rm fill-H' r #: 12 Asheville CwMCWon On 2225 Riverside Drive, Asheville, NC 28W FloridalNF_LAP Certification d: E87848 Massechusetxs Certification f M-NCO30 North Carolina Drinking Water Co.fftatim * 37712 Eden Certification We 206 East Meadow Road Sults & Eden. NC 27288 North Carolina Drbdctng vwter Certification V. 37738 CERTIFICATIONS South Carolina Carmen M 99006001 FloridaMELAP Certification 6: E87627 Kentucky UST Cerkfiration 0. 84 VirginialVi=L.AP C401cstW *. 46=1 North CamMa fstewater Certifim� Ilt: 40 South Carofhta Certiticatlon #. 99030001 VfrginkWELAP Caftitkatfon 460222 North Carolina Wastewater Cart kadon # V40laNELAP Ca ltcWon V. 4WW5 REPORT OF LABORATORY ANALYSIS This report Mall not be reproduced. except In U, wtthout the wrHten O XMffE of Pane anat Cal Servtoes, L LC. Page 2 of 13 Pne Analytical GQrvicea, LLC ne /j.�,� n� a 205 East Meadow Road- SUftA LCX Ana4ft tl Eden, NC 27= (338)5234M SAMPLE ANALYTE COUNT Project: swmnweb Pace Project No.: 92341712 Lab 10 Sample ID Method Armlysb Arralhrtas Deported Laboratory 9=1712001 8tormwebw Outfall 1 SM 2540D CHM 1 F ASi-E EPA 16648 JMS 1 PASI-C TKN+NO3+NO2 Calculation EV4 1 PASI-A EPA 3512 BRJ 1 PASI-A EPA 353.2 AES2 1 PASI-A REPORT OF LABORATORY ANALYSIS Thts repon w w not be Mprodioed. axoept in 1A wWoM ft written oonaent of Pace An*dcW semcm, LLC. Pape 3 of 13 (�Wcl WOWPKSMIGM ANALYTICAL RESULTS Project: Stormwater Pans Project No.: 92341712 PeCoAnaly" t3sr km% LLC 206 East Meadow Road - Sults A Eden. NC 27288- M5)623-8921 Sample: St omwa ier OuIW 1 Lab 10: 92341712M Collected: 05=1714:10 Received: 05JAM 1 :10 Malriac VVMw Parameters Results Unb Report Limit DF Prepared Ana Vzod CAS No. Quaff 21140 Total Suspended Solids Analytkal Method: SM 25M Total Suspended Solids 11.0 M91L 2.5 1 05125M 7 10.03 HEK Oil and Orono Anaykal Method: ERA 1664B Oil and Grease ND MOIL 5.0 1 05M 06:22 Total Nitrogen CatcutadYlon AnalytUml Method: TKN+NO3+NO2 CalculMn Total Nitrogen 0.26 rnglL 0.12 1 Ot3/06/1 7 18:43 351.2 Total Kodahl NitmW Analytiral Method: ERA 351.2 Nitrogen, Neldahl, TOtai ND mgR 0.50 1 05/31/1 02:49 7727-37-9 353.2 Nitrogen, M02MM pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NOS 0.22 MOIL 0.020 1 0610911 14:14 Data: 06/07/2017 07:37 AM REPORT OF LABORATORY ANALYSIS Ttft report shah rat be r OF m 111aI , 1-1; t In fun, wMxM the wdW oaumarat of Peas AmMcal Services, iLC. Page 4 of 13 /�ace,4nary6cai QUALITY CONTROL DATA Project stomtwater Pace Projed No.: 92341712 QC Batch: 362153 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25400 Total Suspended SoWs Aasoclated Lab Samples: =41712001 METHOD BLANK 2008245 AssodffW Lab Samples: 02341712001 Parameter Units Total Suspended SoBds nv/L Matft Water Blank Reporting Result L bm Analyzed ND 2.5 05/25/17 WAS LABORATORY CONTROL SAMPLE: 2008246 Spike LCS LCS % Reo Parameter Urrlts Conn Rama % Rea Units Total SumperKW SOlids mg/L 250 252 101 90-110 SAMPLE DUPLICATE: 2008247 92341521003 Dup Parameter Urdta Result Result RPD Qualifiers Total Suspended Sokis rng/L. 35.0 352 1 SAMPLE DUPLICATE 2008246 92341594002 Dup Parwrieter Units Result Result RPD Qualifiers Total Suspended Solids rng1L 43.3 25.8 51 D6 Rpanit pnogrod an aft pep aft In tier undo rodkand by tM 'UtAW oa{mm eecW wim m eRwmeet wi! ie preeaaLed 4o th REPORT OF LABORATORY ANALYSIS This report ahan not be reproduesd, except in nm, Date: 08/07/2017 07:37 AM wwmd the wrtban oorment d Paoa Arraydt:al Services. LLC. Pam AnBlpt Cd Serrlcea, LLC 205 East Meadaw Road - Sure A Eden, NC 27288- (=023-Ml AOd� ar trr reetit. Page 5 of 13 AncaP i QUALITY CONTROL DATA Pmjeat Stormwater Pace Project No.: 92341712 QC Batch: 363117 Analysis Method: EPA IBM QC Batch Method: EPA 188413 Analysis Dasczipdon: 1684 HEM, OR and Grease Assodated Lab Samples: 92341712001 METHOD BLANK 2013158 Mavk Water Assodatsd Lab Sampies: 9234m2001 Bku* ReporWV Parameter Units Result Writ Analyzed Qual>fie Oil and Grease MOIL ND 5.0 05W17 05:08 LABORATORY CONTROL SAMPLE. 2013159 Spate LCS LCS % Roe Parameter Units Cont. Result % Rec Ua is O!l and Grease MOIL 40 38.3 95 76-114 Pme Analyt I Semtaos, LLC 205 East Meadow Road - Sidle A Eden, NC 27288' (338)823-8921 MATRIX SPIKE SAMPLE: 2013160 92341645004 Spare MS MS % Roe Parameter Units Result Cont. Result % Roe Limits Qualifiers Oil and Grease mWL ND 40 37.0 93 78-114 Rouib prMu - on Oda p W � rn &a rune brmc4ftd by do'SMder" oukarar aeoepe e 0 in eemrueme Ufa Is prrsu I es flr REPORT OF LABORATORY ANALYSIS Tft report OW not be repraduoed, a xoW In fu 1, Date: DOM7=17 07,37 AM without the wrMten corawd of Pace An*dcw Seerioes, LLC. i dgm den. rawrl Paw 6 of 13 QUALITY CONTROL DATA Project Stonymater Pace Pm)W No.: 92341712 QC Batch: 3825% Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Pted Lab Samples: 92341712001 METMOD BLANK: 2010159 Associated Lab Samples: 92341712MI Parameter Units Nitrogen, Kjeidahl, Total mg& Mabk 4Vhter Blank Reporting Result LLnitt Analysed ND 0.50 05131n702:40 Pac* Anetytloal Sdf t ", LLC 205 East Meadow Road - Sutte A Eden, KC 272W (336)82343921 LABORATORY CONTROL SAMPLE: 2010160 Spike LCS LCS % Rea Parameter Units Cont. Result % Roe Lonna Qualifiers Nitrogen, Kjekfahl, Total mgA- 10 9.3 93 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2010151 2010152 MS MSD 92341958001 Spice Spike MS MSD M5 MSD % Rec Parameter Units Result Cone. Cona Result Result % Rec % Raw, Lw to ftPD Qual Nitrogen, IQeklahl, Total mg/L 1.1 10 10 9.5 9.7 83 86 900.110 2 M1 R WArs pnrwrerd on Ihr pop m in pn urft bxOcmd by On'UnW wham Iffm Ir t to Is P rlpfit of tm molt, REPORT OF LABORATORY ANALYSIS TMe report ehai not be reproduced, m=pt In IWI, Otte: 08/072017 07:37 AM wWxxA the wr ftn oormwd of Pow Maly0cal Servims, LLC. Page 7 of 13 Poo AnaPyucal Sanlps, LLC ��Meadow �-��p Cep!' Eden, NC 27288 XM)t QUALITY CONTROL DATA Project: StonTrAr her Pace Project No.: 92341712 QC Batch: 383292 AnaysisMebw& EPA353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, press Associated Lab Samples: 92341712W1 METHOD BLANK 2014134 Matrix Water Associated Lab SaMPISS: 92341712W1 Blank Reporfing Parameter Units Result Lin* Analyzed Qualms ra Nitrogen, NO2 plus NO3 mglL ND 0.020 0610311714:04 LABORATORY CONTROL SAMPLE 2014135 Spice LCS LCS % Roe Panwwftr Unite Conc. Result % Rec Lerfit8 Qualifiers Nit ,open, NO2 plus NO3 MWL 2.5 2A 98 90-110 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 201413e 2014137 MS MSD 92342343004 Spice Spice MS MSD MS MSD % Rex Parameter Units Result Conc. Conn Result Result % Rex % Red Limits RPD Qual Nitrogen, NO2 plus NO3 rnglL 0.061 2.5 2.5 1.8 1.7 64 64 75-125 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2014138 2014139 MS MSD 92341890001 Spice Spice MS MSD MS MSD % Roe Parameter Units Result Canc. Conc. Result Result % Rec % Limb RP0 Qua! Nitrogen, NO2 plus NO3 M01L 10.0 2.5 2.6 13.5 12.4 141 1 lt5 75.125 9 M1 Raarr4 Prod an fdb pW main nM artlb m air mam urdt O pto am rem of do ro uti REPORT OF LABORATORY ANALYSIS TW report mall not be rspoduMd, enoept In M, )ate: 06J072017 07:37 AM wlthaut ft wften oomerd of PaceArw*ftal Serrioe% LLC. Page 8 of 13 QUALIFIERS Project: Stomwmter Pace Project No.: 92341712 DERNMONS DF - Mution Factor. d repor6ad, represents the factor app0ed to the reported data due to daution of the sarnple ND - Not Detected at or above edprstsd reporting Ihrct. J - Estimated concentration above the adpAW method detection tirrdt and below the adjusted reporting tirnit. MDL-Adjusted MoViod Detection UmiL PQL- Practical Quantitation Umit RL - Reporting U niL S - Surrogate 1,2-1)iphenylhydmzlne daoornposes to and cannot be separated frimAzobenxene using Method SM. The resuR a conftied concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to Calculate % reoovery and RI LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spke (Duplicate) DUP - Semple Dupfieata RPD - Relative Percent Dillarence NC - Not Calculable. SG - Sr'M= Gel - Clean -Up U - Indicates the cornpound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 ChlomethyMnyl ether_ A separate vial preserved to a pH of 4-5 Is recommended In SW846 Chapter 4 for the analysis of Atxobin and Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphanytandne using Method WM. The each analyte is a con nod concentration. Pace Anst tic Is TNI acaedited. Contact your Pace PM for the current fist of accredited analyles. TNI - The NELAC Institute. LABORATORMS PAST -A Pace Analytical Services -AshevMe PASI-C PaceAnayticel Services- Charlotte PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS DO The precision between the sarnple and sample duplicate exceeded laboratory control Amy. M1 Matrix spike recovery exceeded OC Iirri ts. Batch accepted based on laboratory oontrol sarnimIe (LCS) REPORT OF LABORATORY ANALYSIS PWO Analytical SWVWSe, LLC 205 East Meadow Road - Suite A Eden, NC Z72atl' each anayte is values. MOO by EPA reported for TTds report shag not be repr0du04 ex0ept in h9l, Date: 06107/2017 07:37 AM wM-A the wHsen oonsent of Pace Ana"wif Servioas, LLC. Page 9 of 13 SIG / U fM✓ ca QUALITY CONTROL DATA CROSS REFERENCE TABLE Pr*a StorT4tYrater Pace Projed No.: 92341712 Lab 10 Sample ID OC Batch Method OC Batch 92341712001 sumnwater outlall 1 SM 2540D 362153 92341712001 Stonnwater OuftH 1 EPA 1684E 363117 923417120M Stomwoater Ouftli 1 TKN+NO3+NM 383648 Calmmon 92341712M Sto mvrat9r Outten 1 ERA 351.2 3525N 92341712M Stormwaber Otrlfall 1 EPA 353.2 363292 Data: 0610712017 07:37 AM REPORT OF LABORATORY ANALYSIS This report shall not be reWoducad, a xcept in fun, without the wrmen oomont of Pace Anarytieal Services, LLC. Pace Areal dMd 8ervtaM t.LC 205 Teal Meadow Road - Suits A Eden, NC 27288 ' (336)823-892i Artaly0Cal Batch Page 10 of 13 /5a,CekWytk916 i Document Name: Document No.: F-CAR-CS-033-Rev.01 Laboratory receiving samples: Asheville ❑ Eden[] Greenwood ❑ HuntersviRe ❑ Document Revised: Sept. 21, 2016 P#fie 1 of 2 Issuing AudwrtW. Pace Quaw Office Client Name: O# Rohl 1�, Project 0: Courier: �Ex UPS USPS Client ❑ Commercial Jdra ❑Other 9234 1i Custody Seal Present? ❑Yes P Seals Intact? ❑Yes ❑fro Padd Materl�: Dat�tiah P Pawns ❑Bubble Wrap ❑Bubble Bags one ❑Other. Thermometer. ,., f ❑ lit Gun ID: � of I Ki []Blue []None Correction Factor: Cooler Tamp Corrected ('Q. l � ' Biological Tissue Froi Temp should be above freezing to 61C USDA Regulated Soil (❑ NIA, water sample) Did samples orlgtnate In a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples ortgloate ❑Yes ONO kmAtdtng Hawaii and I Chain of Custody present? Samples Arrived within Hold Time? 1. 2. 3. Sufficient Volume? yes ❑No ❑N/A I S. t Correct Containers Used? yes ❑No C3N/A I 6. Mechanicsville[] ?341712 11111111 6aminft Its on Ice, coo ft process has begun ❑Yes ❑No ❑NIA a foreign source o ntematkma ft Containers Intact? yes QN0 A 7. Samples Field Filtered? Yes No N A L Nate If sediment Is visible t i therdlssolved container Sample Labels Match COV -includes meAQJAna 0/yes13No ❑WA 9. S�+Nti�f�S PA Y Headspace In VOA Vials >5-6mm 7 13Yes No NIA 10. Trip Blank Present? TripBlank CustodySeals Present? []Yes ' ❑Yn ❑No Na 11N/A [ N/A 11. Ctturr NuTiFiCAT1oN/RESO=oN Fldii Data Required'! ❑Yes ONO Person Contacted: Comments/Sample Discrepancy: Date/Time: Project Manager SCURF Review: V— Date: Project Manager SRF Review: _ Date: Note: Whenever there is a discrepancy afkcting North Carolina compdanee samples, a Copy of this form will be sent to the North Out of hold, incorrect preseiva0m out of temp, Incorrect containers) OEHNR Certlf eRdon Office (i.e. Page I I of 13 Document Dame; Document Re sat Sept. 21, M6 . 2ceAn.?YW Sant le Condition Upon Recei SCUR P e 2 of 2 Document No.: Issulnq Aut xwW. F-CAR-CS-0334W.01 Pace anry Office *thedc mark top half of box H pH and/or dechlorination Is verified and within the acceptance range for presentation samples. "Bottom half of box Is to list number of mottles project t WO# : 92341 7 12 PM: am � Mn "tot MUM CL.IMM : 83-41 Pro& MOMMUMM MOMERIEND MOMMii�� ��nui�aaaiie■=in""�i 1 pH Adjustment Log for Preserved Samples Sample 10 Type of Prewrratke pH upon mceipt Date pnmrvation adjusted I Time preservation Aim Aim 6 of Preservative adjastad added Lot # Page 12 of 13 PaceAnalytical' wM.paatata.eam Section A Required CUM Information: Company: AddIpSS: Emal!a omrrQ ape.,. te. LZ 3 Faa: Rarptestad Ow DamtrAT. 1L;r1A1N-u1--I;US I UVY 1 Analytical Request Document The Chalnwf-Custody is a LEGAL DOCUMENT. AS relevant ffekds must be complelad accurately. Seckhm a Socalm Cftquftd p:9e: of Report Ta�� Infamaron: Invoice 2129701 Copy To: Camawy Name: Name: REGULJ1Tt7RY AGENCY F NPDES F- GROUND WATER j" DRINKING WATER i UST r RCRA i OTHER SMe Location STATE. Requested Analysis Filtered (YIN) section D Matrbt codes wgw6w0 %tnronnaft M&= r cage prinking Water DW B U COLLECTED Preservatives z a Water WT Waste Water WW COTra'tl5[fE C V Soiltsaw u SAMPLE ID oil L 3 {A-7. 0-9I:) Air AR to a C a m Semple Has MUST BE UNIQUE Toque TS O F m p OEOT x Q m 0 g , 0 ; 1 Z DATE TIME DATE TIME � � 2 g O c m SAMPLER NAME AND MRATUFM w t! I.+ I.al_ PRINT Nam. of SAMPLER: W=KATURB of SAMPLER, a m Pace Project NaJ Lab LD. I-YA14111111111in'.--41111111111 1.hi 'tmp.nwu Note: By aignrq this ram you we a p" PamS NET 30 day payma d Weis ana agreeurg to late dmrgea d 1.5% per month fm any kNdces riot pa$d weMn 30 as" F-ALL-0420rev.07. 15-Mav-2007 Pace Container Order #250324 Addresses Order By: Company Air Products Contact Owens, Levi Email powersnairproducts.corn Address 226 Equity Road Address 2 City ReldvAle State NC Zip 27320 Phone 336-342-2312 Info Ship To : Company Air Products Contact Owens, Lavl Email powers1f;Wrproducts.oDrn Address 225 Equity Road Address 2 City RaklW119 State NC Zip 27320 Phone 336-342-2312 Project Name Storm water Due Date 05 2312017 Profile Project AtWWW McOk wd. EM122 Ratum Carrier Courier Return To: Company Pace Contact Mc o E marl ctaytl Address 205 E Address 2 Sulte City Edsn State NC Phone (33B) Trip Blanks BotQe Labels Bottles ❑ Include Trip Blanks ❑ Blank ❑ Bay o Pre-printed No Sample 02 ❑ Inds ❑ Pre -Printed With Sample IDs ❑ Gro Return Shipping Labels MiSC ❑ No Shipper Number Sampling Instructions ❑ Nth Shipper Number ❑ Custody Seat COC Options ❑ Temp. Blanks ❑❑ Number of Blanks El Coolers El Syringes ❑ Pre -Printed # of Samples Matrix Test Container Total # of t2C Lot # lnafytical Eden I ' .kard, Clayton IJn=kkard@paoelabs.com rat Meadow Road 27p 27288 Z38921 CNN" cases Lally Wrapped ad By Sample Ira Bubble Wrap on HoldlRush Stickers Water Effects) 'DA Regulated Solls Lot Number 1 WT Nitrate+NM% by 353.2 125'nL pissttc H2SO4 1 0 042217-4CGT Lot Number 1 WT TKN (total lgaidaN Nitrogen) by 1M,1 pb We H2SO4- 1 0 042217-4CGT 351.2 Lot Number 1 WT 00 and Grosse by 1 MK 1 1 L amber gkmO HU 1 0 040817-1 DAW 1 WT TSS t L ptastk unpres 1 10 042917-2APJ Hazard Shipping Placard In Place: NO 'Sampe rece1vhV tours are Mon-Fd 8:00am-8:00pm and Sat via Fedex Daly unless spacial arrangements are made with your t 'Pace Analytical reserves the right to return hazardous, toxic, or radioactive samples to you. 'Pace Analytical reserves the right to charge for unused bottles, as well as cost associated with sample storage and disposal. -Payment term are net 30 days. 'Please Include the proposal number on the chain of custody to insure proper billing. Sample Notes manager. Date: 06l2212f117 W By: d plerce d By: Page 1 of 1 r9'9LL-WVva"ov,w, ,oypycv,v �VMT S ,mow• Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 Telephone (610) 481-4911 Via Certified mail: return receipt requested February 27, 2017 NC DENR Division of Water Resources 450 W Hanes Mill Rd. Ste, 300 Winston-Salem, NC 27105 RE: NCS000030 Annual DMR Summary Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: NC Department of Environmental Quality Received MAR 0 6 2017 Winston-Salem Regional Office Enclosed please find the Stormwater Discharge Monitoring Report Annual Summary for the Air Products and Chemicals, Inc. Reidsvifle, NC Facility for calendar year 2016. Please feel free to contact me with any questions or if you require additional information. I can be reached at (22S) 355-4613, x-11 or arcenesF(@airproducts.com. Sincerely, Stephen Arceneaux Sr. Environmental Specialist Air Products and Chemicals, Inc. Ofc (225) 355-4613 x-11 Mobile (985) 212-2148 cc. Levi Owens —Air Products and Chemcials STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2016 Individual NPDES Permit No. Certificate of Coverage (COC) No NCS❑O ❑O ❑o ❑O ❑3 ❑O or NCG❑❑❑❑❑❑ This monitoring report summary of the calendar year should be kept on Me on -site with the facility SPPP. Facility Name: Air Products and Chemicals_, Reidsville ASU County: ,Rockingham Phone Number: (336)_349-2962 Outfall No. ) Total no. of SDOs monitored 1 Is this outfall currently in Tier 2 (monitored monthly)? Was this outfall ever in Tier 2 (monitored monthly) during the past year? If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No Yes ❑ No Yes ® No ❑ Parameter, (units) Total Rainfall, inches Flow, MGD PH, standard Total Nitrogen, Oil & grease, mglL TSS, mg/L New motor oil usage, gal/mo Benchmark N/A Date Sample Collected, mmlddlyy 5117/2016 1.5 0.30579175 7.05 0.51 ND 16.4 75 10110/2016 1.2 0.2446334 7.16 0.66 ND 24.7 75 F- SWU-264 - Generic Annual DMR Last revised S/17/2013 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signs Date For questions, contact your local Regional Office: DWQ Regional Office Contact Information: SA HE_VILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE — MOORESVILLE REGIONAL OFFICE 610 East Center Avenue/Suite 301 2090 US Highway 70 225 Green Street Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON REGIONAL OFFICE _ WILMINGTON REGIONAL OFFICE. 127 Cardinal Drive Extension 3800 Barrett Drive 943 Washington Square Mall Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-S_ALEM REGIONAL OFFICE ��— CENTRALOFFICE 585 Waughtown Street Winston-Salem, NC 27107 1617 Mail Service Center Raleigh, NC 27699-1617 j "70 preserve protect and enhance (336) 771-5000 1 (919) 807-6300 North Carolina's water..." SWU-264 - Generic Annual DMR Last revised 511712013 PRVDCAN ;k.,�• Delegetfon of Authority to Man.Offkvr Posilfons PY n�r.n. w The undersigned. Sgban 2. Garrey: m my capewTy as Vre� idant — Giafsat Enoineerhro of 6jr EM"tn airs_ CUMN5818, WC.. pursuSM to the Delegattorts of Authonly Pt*cy, tsby deliagales authanty as described heron below to the lattpwsig non-ol6cer poedlon(s). POSMON TRTte ANo CCLWPJWY aIAJRMUM VALU[ feww, See attached Page 2 for Of of position Iltias TWA CHSCMMON OF AVTNOleTV Authority to execute pemo appltastbris, garnO ■e4dW submissions and dacualents, and routine tidings and documents required by Rocal, state. and federal regulatory agarrdes or awhadfin pertairxng to enviMnOlentai. health. and safety compawme for the Woes Barre, Gardner. Cryornechinery and Prism Membranes laatrfies OTna aunwty may arm aueestW WAh Iha 60*vj,, p Nalnei+ona dl tiny) ® ilex RMPOry n" rice to O'WahaMea to lake affect when counlersfgned by the Corporate seertsfary or any Assistant Corporate Secretary and to etinifntre in eftcl far so tang as the designated pusaion ttlte(s) rgrnain unchanged. w wud such i3LMwUy shalt be revised or revoked by notice thereof by the urlde rilignsd, his or her successor M oNice. or the person to wh" the designated position{s} repo6t. .� Oro J.- (:auntersigntd by • � i '.�� `lL t5.ryw�rr i t�n:A+a• it rparan- 0 tw y Ir�. I .M PRODUCTS 'tom Delegation of Authority to Non -officer Positions POSMON ME Opem one Maneger tine >wanager Site Manager Assmtaru Site Manager site Supervisor Pwd Manager Assistant Plant Manager Plant Superi tendeni Ganslnrdion Manager Envf ivnernal Manager Envuommmial Engineer Senior Emrlronrrmnlai Engmear Principal tEnvtromm mW Erginaer Senior PrOrWal E rvironmental F.ngnew Lead EnvEnmranfai Er4rwer Envfmnmental Speciagm Semen Enwronrnentel SpecUffiat Principal Envirc>nrnerda! SpeclOsl Senior Poncfpat EnvkcnmeMel Specnaftal "^MMUM VALUS WA 'AIR ALIL PRODUCTS Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 Telephone (610) 481-4911 Via Fed Ex 7766 1392 6255 27 June 2016 NC DENR Division of Water Resources 450 W Hanes Mill Rd. Ste. 300 Winston-Salem, NC 27105 RE: NCS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: NC Department of Environmental Quality Received JUN 2 S 2016 Winston-Salem Regional Office Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. Please feel free to contact me with any questions or require additional information. I can be reached at (610)481-4755 or creitzib@airl)roducts.com. Sincerely, e0reit J nnifer B.Sr. Pr. Envirer c. Coray Mitchell —Air Products STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 6 4000 Q or SAMPLES COLLECTED DURING CALENDAR YEAR: Z016 Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from / 1 the date the facility receives the sampling results from the laboratory.) FACILITY NAME 1f �d�C 7j el0l; II I/t �SI epartment of COUNTY AOC&Afh41-7 PERSON COLLECTING SAMPLE S) mental Quality PHONE N t 6 CERTIFIED LABORATORY(5) Lab # Received Lab # (40WUE OF PERMITTEE OR DESIGNEE) ~SUN 2 8 2016 By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A. Specific Monitoring Requirements Winston-Salem No. :Total e app.) ' Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Greases (if appl.) Non -polar O&G/TPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage motel yr MG inches m m Units aUmo OVIVA, G / TT- 7- D Form SWU-246-0623I0 Page 1 of 2 Certificate of Coverage No. NCG (9odod.76 STOXMWATER DISCHARGE OVIVALL (SDO) MONITORING REPORT FACT M NAME l l f jSV IAt PERSON COLLECTING SAI4IPLE(S) CERTIFIED LA$ORATORY(S) t Lab # ..Lab # _ SAMPLES COLLECTED DURING CALENDAR YEAR: Zd�� ('S his monitoring report shall be received by the Division no later than 30 days AI from the date the facility receives the sampling results from the laboratory.) �7fu COUNTY gi oc PI30Ni� NO. 7 Ticz (SIGN OF PERMIT= OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of new motor oil is used) Oatfall No. Date Sample Collected, molddlyr TotalRainfall, mcbes New Motor OII iJsage, Annual average at/mo 00556 00530 OWN Oil and Grease, mgJL Non -polar O&t (ITH (Metbad 1664 SGT-HF, A if a Total Suspended Solids, mg/L pH, Standard anus, Benchmark - - - 30 15 100 6.0 — 9.0 GL Oft Note; If you report a sampled value in excess of the benchmadc value, or outside the benchmark range for pH, you must implement Tier i or Tier 2 msponsm in the General Permit. Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this docament and all attachments were prepared antler my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who nmmge the system, or those persons directly responsible for gathering a information, the information submitted is, to the best of my knowledge and belief, t me, accurate, and complete. I am aware that there are signifipnt peodeAf9f submitting false information, including the possibility of fines and imprisonment for knowing violations." Of (Date , 6�—j /. �— Form SWU-254-062310 Page 1 of I STORM EVENT CHARACTERISTICS: Date 511; �— Total Eve t Precipitation (inches): ,� 5 Event Duration (hours): �Z (only if applicable — see pemtit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable -- see pemut.) Mail Original and one copy to. Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, tru accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibilit imprisonment for knowing violations." —15-11 ;;1A (Signs re o ermittee) (Date) Form SWU-246-062310 Page 2 of 2 Outfall 001 Inches of Rain 1.5 Area Sq Ft Run Off Factor Ft of Rain Cubic Ft Gallons Million Gallons Impervious Area 127000 0.9 0.125 14287.5 106870.5 0.1068705 Gravel 425500 0.5 0.125 26593.75 198921.3 0.19892125 Total 552500 Total Flow 0.30579175 Area x runoff factor x feet of rain = cubic ft of water runoff Cubic feet x 7.48 = gallons q !. PRODUCTS Oefegetior, of AuthoNly to Hon -Officer Positions :w The uncerslgned. Robar jD. Conley. in my capacity asVice Prglidenl — Grobal Etolneerig of & Products A= Chemic. Inc..IncInc.pursuant to the Delegations of Authority Policy, hereby delegates authority as described h&r&in below to the following non -officer position(s), POSITION TITLe AND COfI PANy MAi[IAIUMr VALUE e.en 7ransVacdoniCentrael See attached Page 2 for list of position tilt&& WA DESCRIPTION OF AUTmOmTY Authority to execute permit applications, permit related submissions and documents, and routine flings and documents required by local, &rate, and federal regulatory agencies or aulhorities pertaining to environmenlat. health, and safety compftance nor the Wilkes Barre, Gardner, Cryomachnery and Prism Membranes faclldlas OTNI SwIftarlty May OC Sub0§189 1ld With the rO(W*PnQ MWncl*M 181 •ft) ® 003 ninew,ty may poi to wboshp ;&d. la fake effect when counterslgneo by the Corporate Samfery or ariyAssislani Corporate Secretary and to continue In affect for so tong as the designated position title(sj remain unchanged, or unid such authc9lity shall be revised or revoked by notice lhareof by the undersigned, his or her successor in o tce. or the parson to whom the designated posilion(s) report. r Countersigned by ' ,_ / I t t,n,A•s»I�t1I [ �rport,W �n4'.r Dole Ier r ,1� � a, ✓ . r17' r��,r�n,w.�.+11 �4� AfN /• PrMDUCTS Delegation of Authority to Non -Officer Positions 12CSITM304 nTLE Operations Manager Line Manager Site Manager Assistant Site Manager Silo Supervisor Pisnt Manager Assistant Plant Manager Plant Superintendeni Constnrclion Manager Environmental Manager Environmentat Engineer Senior Environmental Engineer Principal Environmental Engineer Sensor Principal Environmental Engineer Lead Environmental Engineer Environmental Speciefisi Senior Envxonmental Specialisl Principal Environmenlal Specialist Senior Principal Environmental Speaabt _.. MwwMUM VALUE NIA /��ac,-Analyfical* www.psosrhs.can June 03, 2016 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: STORMWATER Pace Project No.: 92298242 Dear Mr. Owens: Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on May 19, 2016. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Brittany Gibson brittany.gibson@pacelabs.com Project Coordinator Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pave Analytical Sorvlcea. Inc.. Page 1 of 8 aceAnaly cal wwwPacetebscom Project: STORMWATER Pace Project No.: 92295242 Charlotte Certification 10s 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certificatlon #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Cert€licatlon M 12 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification lDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS South Carolina Certification #: 99006001 Florlda/NELAP Certification #: E87627 Kentucky UST Certification #: 84 VlrglnlaNELAP Certlticatton #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VlrginiaNELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 Virgin€aNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Ana"cal Services, Inc.. Pace Analytical 5ervlces, Inc, 205 East Meadow Road - Suite A Eden, NC 27286 (336)623.8921 Page 2 of 9 aceAnalytical W WW.pmm4bs.com ANALYTICAL RESULTS Project: STORMWATER Pace Project No.: 92298242 pace Analytical Services, Inc. 2u East Meadow Road - Suite A Eden, NC 27288 (338)623.8921 Sample: STORMWATER OUTFALL 1 Lab ID: 92298242001 Collected: 05/17/16 10:00 Received; 05/19/16 11:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qua[ 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 16.4 mg/L 2.6 1 05/19/10 14:18 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg/L 5.0 1 06/03/16 0a:52 Total Nitrogen Calculation Analytical Method: TKN+NO3*NO2 Calculation Total Nitrogen 0.51 mg/L 0.12 1 05/02/16 15.33 351.2 Total Kjeldahl Nitrogen Analytioat Method: EPA 351.2 Nitrogen, Kjaidahl, Total ND mg/L 0.50 1 05/28/16 00:56 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.41 mg/L 0.020 1 06/01/16 22:16 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full. Date. 06/03/2016 01:02 PM without the written consent of Pace Anatytical Services. Inc.. Page 3 of 9 I t aceAnalytical' ` � wt+wpaeefebamn i QUALITY CONTROL DATA Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 Project: STORMWATER Pace Project No.: 92298242 OC Batch: EDEN122871 Analysis Method: SM 25400 QC Batch Method: SM 2540D Analysis Description: 25401) Total Suspended Solids Associated Lab Samples: 92298242001 METHOD BLANK: 1737550 Matrix Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 06/19/16 11:21 LABORATORY CONTROL SAMPLE: 1737551 Spike LCS LCS % Roe Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 256 102 90-110 SAMPLE DUPLICATE: 1738204 92297933003 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 159 200 23 06 SAMPLE DUPLICATE: 1738205 92297949001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 35.3 34.0 4 Results presented on this pago are In the units Ind lasted by the "Units" column exoopt where an alternate unit Is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, r)atw nwn312016 01:02 PM without the written consent of Pace AnaMcal Services, Inc,. Page 4 of 9 �-,;alaeAnalxical" wMMcpecefabo.cam QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 QC Batch: GCSV125163 Analysis Method: EPA 1664E QC Batch Method: EPA 16646 Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92298242001 METHOD BLANK: 1747600 Matrix: Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 06/03/16 08:45 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (335)623-8921 LABORATORY CONTROL SAMPLE: 1747601 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Oil and Grease mg/L. 40 35.2 88 78-114 MATRIX SPIKE SAMPLE: 1747602 35246515001 Spike MS MS % Rec Parameter Units Result Cone. Result % Roe Limits Qualifiers Oil and Grease mg/L 3.4J 40 42.9 99 78-114 Results presented on this page are in the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 06/03/2016 01:02 PM without the written consent of Pace Ana4yticai Services, Inc.. Page 5 of 9 Analytical WWW'Psoelab&XM QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 QC Batch: WETA127748 Analysis Method: EPA 351.2 OC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92298242001 METHOD BLANK: 1742451 Matrix: Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 0,50 05/28/16 00:49 LABORATORY CONTROL SAMPLE: 1742452 Parameter Nitrogen, Kjeldahl, Total Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 Spike LCS LCS % Rac Units Cone. Result % Rec Limits Qualifiers mg/L 10 9.9 99 90-110 MATRIX SPiKE & MATRIX SPIKE DUPLICATE: 1742453 1742454 MS MSD 92298871001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mg1L 30.4 10 10 42.0 422 116 117 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1742455 1742456 MS MSD 92298756001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mglL 20.2 10 10 30.8 30.7 105 105 90-110 0 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 01:02 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9 aceAnaiytieai www.pacalatw.00m QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 OC Batch: WETA127795 Analysis Method: EPA 353,2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92298242001 METHOD BLANK: 1746143 Matrix: Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Qualifers Nitrogen, NO2 plus NO3 mg/L ND 0.020 06101/16 22:06 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 LABORATORY CONTROL SAMPLE: 1746144 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2.4 96 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1746145 1746146 MS MSD 92298219001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.68 2.5 2.5 3.1 3.0 95 95 75-125 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1746147 1746148 MS MSD 92298654002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg/L 0,28 2.5 2.5 2.6 1.9 94 66 75-125 31 M1,131 Results presented on this Page are In the units Indicated by the "Units" column except whore an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Dale: 06/0312016 01:02 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9 _aceAnakical � wwwpscaloifs.oam QUALIFIERS Project: STORMWATER Pace Project No.: 92298242 DEFINITIONS Pace Analytical Sorvlcoa, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-9921 OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. NO - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection llmlt and below the adjusted reporting limit. MD#_ - Adjusted Method Detection Limlt. PQL • Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270, The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended In SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical Is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NEIAC Institute. ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/03/2016 01:02 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 9 �AceAnakicale � .. wwirpscsfebs.eam QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: STORMWATER Pace Project No.: 92298242 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 2728E (336)623-8921 Lab ID Sample ID QC Batch Method Analytical QC Batch Analytical Method Batch 92298242001 STORMWATER OUTFALL 1 SM 25400 EDEN122671 92298242001 STORMWATER OUTFALL 1 EPA 1664E GCSV125163 92298242001 STORMWATER OUTFALL 1 TKN+NO3+NO2 WET145296 Calculation 92298242001 STORMWATER OUTFALL 1 EPA 351.2 WETA127748 92298242001 STORMWATER OUTFALL 1 EPA 353.2 WETA/27795 Date: 05/03/2016 01:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In V1, without the written consent of Pace Analytical Services, Inc.. Page 9 of 9 PaceAnalytical ' wmY_e lalu_mm CHAIN -OF -CUSTODY / Analytical Request Document The Chain-ot-Custody is a LEGAL DOCLJUEN7. Ali relevant fields rtu,st be completed a=rately. Page: of Section A Section B Section C Required Clie+d Irtfurnation: Required Project InforrnatioW Invoice Information: C.omnany. Report To: Attention: 1 038706 ji • IF. Ad mess: I Copy To: Company Name: REGULATORY AGENCY t -7'r ' i Ad-areSS' NPOES r GROUND WATER j - DRINKING WATER !1, I r UST RCRA ;.. OTHER EraI To: Purchase Omer No.: paOe;_�'we . r f ! •. 1 _ 1 Reference: �t'wm law: Pm;eu Name: Pace Project Site Location i f f, 6L�na�er. STATE. Requested Due CateNAT: Pm,;ec1 Number: Pam P;d"' °' Requested Anatysis Fittered (YIN) Section D Matrix Codes r z RegvlredGien information MATRIX! CODE s E COLLECTED Preservatives >`- D"irg water DW - co.1 z Water WT y Waste Water WW p mm� �f � o U z SoilfScad St. SAMPLEID wloa = �? L) ,°p w IA-Z. 6-9 7 :) Air AR a o Sarrpe ID, MUST BE UNIOUE Issue TS O Q r H CDm �' � ^ U Other OT U x w w w O m O o ro K1 m N a Q (n m L Q] N 0 0 ~ . r w DATE TIME CRATE TIME En # a x � z z ii O .ay tY Pace Project NoJ Lab 1.0. 2 7 4 5 6 7 8 r 9 10 '" 12 I t ADDITIONAL COMMENTS REUNQUiSNEO BY IAFFHJATIPN DATE r TANE'N-.. -ACCEPTED BYt AFFILIATION i DATE TILME SAMPLE CONDITIONS r r , SAMPLER NAME AND SIGNATURE: u U r-� c o z v g PRINT Marne of SAMPLF3i;' o o V i e 2 SIGNATURE of SAMPLER: DATE Sipped 1! rr, l , 1 f o - U In1MWDDIYY)-. _ '! •Important Note: By sQnkV eft ram you arc aoccpeng Pares NET 30 day paymem teere a.¢ agreex,g to Tare charges of 1.5% per moon for try mwdces not raid Witt:. 30 days., F-ALL-0-020rev.07, 15-May-2DO7 PwAna44kaf ' www.pacerabs.com Section A Required Client IrdoPmadon: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B Section C Required Project Information: Fnvcice Information: Company: 'i Repm. To: r.;tnnfion: I ,� h LJ asdress: ? Copy To: Company Narre: REGULATORY AGENCY L' Address. NPDES I GROUND WATER I DRINKING WATER I' UST i RCRA F ' OTHER E:naB To: r' +} �; Purchase Order No.; ?ace Oome f7c ? r r atrer�r.�r: Pt:one: , Fax: - or ..�� J r Name. 'race >argea mPr. Site LoWion er '. I.l STATE' Requested Due 1LtelTAT: Project Number. Faca Profs =. Requested Analysis Filtered (YIN) Section D Matrix Codes '- 2 RequlrwdG�art Mfmm�arxm MATRIX I Coon o EL COLLECTED Preservatives >`- Drinking Water DW Wafer WT O u o �� 11 {j WW [ E �uctate? BB w � z Iw Prod � } SMVSofid SL g c7 p y SAMPLE ID al OL 1; 0 m rarna wP H-Z, t7-9l ,-1 Air AR su O w a (L wLa Z 1! Sample IDS MUST BE UNIQUE Tissue TS O a w V r olr,er or z m m o y 0 a , Q f (L U O 07 O C O L@ l= 1 �. Q DATE, TIME ❑A.TF TIME Q Nam/ C N r Z a U T [G Z N Z m Q Q G7 Pace Project Nol Lab I.D- 2 II I 3 5 iY 6 7 9 ,2 1#I ADDITIONAL COMMENTS RELINQUISHED BY IA AFFILIATION hr t)ATTEI nmE �'AOCEFTED8+rY'fAFFtLU1TFOtI i DATE TIME SAMPLE CONDITIONS •� � �{e...�,a:e'S r f i � ` r �•� / f Ll '•. r r �� f 4 J �e r I �y , � 1 - i 1 ,"�} A. �F 1 ~ SAMPLER NAME AND SIGNATURE • r r- PRINT-Namo of SAMPLER: �� y S .1( % ~ f• m n a > m z ~ ¢ w V) ° rJ' r h" T SIGNATURE of SAMPLER: .. =t✓ DATE Signed r r � I . (MwDDfYY): 'o 'ImP BEN NOW P. ssgnng Ina Iran ;p. am accepting Pads NET 3D day paynumu hums ax agrarinp to We charges r,f 1.M, par moms for any in,�. is m ps-d wthin 30 days. F-ALL-0-020rev.07, 15-Vq,-2007 Reidsville NC Stormwater Sampling Checklist Completed by: Item description j Fr 1. Sample during representative* storm event at Outfall #1 *>0,1" rainfall, sampled within 30 minutes of start of event, and no other rainfall event >4.1" in previous 72 hours J 2. Spring sample between April V-June 30t or Fall sample between July 1st and December 315t JV/ 1 3. At least 60 days has passed since last sample taken CL 4. Sample refrigerated until lab pick-up 5. Calculate rain flow and print spreadsheet 6. Fill out SDO qualitative monitoring report for BOTH outfall 1 & 2. J� Report any deviations to Site Manager • NC State form SWU-242-XXXXXX 7. Fill out form B2 and C2, site inspection and summary 8. Fill out SDO monitoring report • NC State form SWU-246-XXXXXX page 1 L L 9. Fill out Storm event characteristics form • Nt Mate Corm SWU-146-XXXXXX page 2 10. After analysis is complete, check results against following benchmark values. Report any deviations to the site manager Total Nitrogen: pH: Oil and Grease: Total Suspended Solids: Benchmark Result 30 mg/L mg/L 6-9 su 7, .4 su 15 mg/L 41,!�' mg/L 100 mg/L 16-11 mg/L J 11. Compile all documents listed above, together with analysis results, scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12, Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR In Reidsville share site CALIBRATION AND SAMPLE ANALYSIS PROCEDURE i EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 H analysis must be Performed within 30 minutes of sample collection. 1. Turn on pH meter 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe 4. Rinse pH probe with deionized water and blot dry with a clean, soft cloth or tissue. 5. Place both the temperature probe and the pH probe in 7.01 pH buffer solution. 5. Shake the pH probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7. Record temperature and pH reading. 8. Press and hold the CAL button until "CAL" flashes on the screen. 9. Calibration will take approximately 30 seconds. When complete, record final pH reading. 10. Remove probes from 7.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 11. Repeat steps 5 through 9 using the 4.01 pH buffer solution 12. Remove probes from 4.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 13. Repeat steps 5 through 9 using the 10.01 pH buffer solution 14. Remove probes from 10.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 15. Insert both probes in the storm water sample, and stir the sample gently to ensure homogeneity and minimize carbon dioxide entrainment. 15. Wait one minute for reading to stabilize. 17. Record temperature and pH reading. 18. Remove probes and rinse pH probe in deionized water. Blot dry with a clean, soft cloth or tissue. 19. Dampen the inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace cap on probe. CALIBRATION AND SAMPLE RESULTS EXTECH Oyster-10 pH/mWTemperature Meter Serial Number 022055 pH 7.01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Da a Temp I Initial Final Temp Initial Final Temp Initial Final Temp pH S l� l (�.91 ��u Z3`lL 3�5.. .ol ZyUC9. 3" MU2 Air Products Internal Use Only Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://112o.enr.state.ne,us/sulForms Doeuments.htm#miac-f9rms Permit No.: &.0 Of 0 G / 0f 61116 Facility c: t�r County: Na Inspector: Date of Inspection: 117 Time of Inspection. 69-7 Total Event Precipitation (inches): or Certificate of Coverage No.: �IJGGI�I 1_1_I_ I_I I. s No. '3 3 L 3P V 62- Was this a Representative Storm Event? (See information below) $ Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that ~ is preceded by at least 72 howrs (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify At't�report is accurate and complete to the best of my knowledge: JOB (Signature ofInrpj or Designee) 1. Outfall Description: e Outfall No. Struct 9 e. ditch, etc.) C t Receiving Stream: fw / /'�__ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ► f' m"' ^ 3. Odor: Describe any distinct odor • that the discharge may have (i.e., smells strongly of ail, weak chlorine odor, etc.): d 0 a { Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: I 20 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids annd� 5 is the surface covered with floating solids: I /Z/ 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy; 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes / N� 4. Is there evidence of erosion or deposition at the outfail? Yes o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U-242-112bos Stormwater Discharge Outfali (SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: http:/lh2o.enr.state.nc.us/su/Form5 D cuments.htm#miscfornis Permit No.: ,N1011 QI d / dl 413/0/ or Certificate of Coverage No.: NIC/G/ I—I_ITl 1 I Facility Name: ,1, J �7i; U County:K6(Kf Inspector: Date of Inspection: Time of Inspection: ar Total Event Precipitation (inches): I - No. Was this a Representative Storm Event? (See information below) Kyes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I cer�t this report is accurate and complete to the best of my knowledge; (Signature�t`��:rniittee or Designee) 1- Out€allDescription- Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: �T Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the (light, medium, dark) as descriptors: basic colors (red, brown, blue, etc.) and tint 3. Odor; Describe any distinct no�iors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /J f _ Page 1 of 2 5 WU-242-112608 , 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 7l 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 (2) 3 4 5 7. Is there any foam in the stormwater discharge? Yes o 8. Is there an oil sheen in the stormwater discharge? Yes /Nqj 9. Is there evidence of erosion or deposition at the outfall? Yes / io 10. Other Obvious Indicators of Stormwater Pollution: List and describe / o Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S WU-242-1 l 26oa STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 6 00 0 0 � 6 or SAMPLES COLLECTED DURING CALENDAR YEAR: — Za 16 Certificate of Coverage Number: NCG (This monitoring report shall be received by the Division no later than 30 days from / J the date the facility receives the sampling results from the laboratory.) FACILITY NAME f f !Z dLc 7f11 ft�SVl I,C S COUNTY 4G A'W h. PERSON COLLECTING SAMPLE(S) PHONE N t & CERTIFIED LABORATORY(S) Lab #f Lab #1 ( -RE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Specific Monitoring Requirements • :� Total r i I� Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? .yes --_no (if yes, complete Part B) Part B: Vehicle Maintenance Activit • Moniitorittg Requirements Oetfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Ratnfall Oil & Grease (if appl.) Non -polar O&GITPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids pH New Motor Oil Usage mo/d4lyr, MG inches m Units al/mo I 7- 0 Form SWU-246-062310 Page 1 of 2 Certificate of Coverage No. NCG Dodos'76 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME PERSON COLLECTING SAbIPLE(S) _ 3 CEIiTII'iED LABORATORY(S) Cti Lab # Lob #. SAMPLES COLLECT DURING CALENDAR YEAR Za/tit (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory-) v COUNTY PHONE NO. 9 L (SIGN OF PFM TTTEE OR DESIGNEE) By this signature, I certify that this report is accasate complete to the best of my knowledge. PartA: Vddde Maintenance Activity Monitoring RegUbtWentS (only if, on average, mare than S5 gallons per month of new motor oil is used) Out12D No. Date Sample CoDected, nWddiyr Total Rainfall inches New Motor 011 UsaM Annual avezav i OM56 0000 00400 07 and Grease, mg1L Noo-polar O&GnPH (Method 1664 SGT-HEM), da Total Suspended Solids, MA PA Standard units . Benchmark - - - 30 i5 100 6.0 — 9.0 G- Nom If you report a sampled value in excess of the benclimadc value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses in the General Pernik - Mail Original and one copy to: Division of Water Quality Artru Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 'T certify, under penalty of law, that this document and ail attachments were prepared under m9 direction or supervision in accordance with a system dedgeted to assare that gushed personnel properly gather and evaluate the information submitted. BaiW on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and be€ 4 true, accurate, and complete. I am aware that there are signitiput pemdti, of submitting false information, including the possr-bility of 5nes and imprisonment for knowing riolatioas" Mau) --- Farm SWC-254-062310 Page 1 of 1 STORM EVENT CHARACTERISTICS: Date Total E�Princheseci Precipitation P (inches). Event Duration (boars): �Z (only if applicable — see permit) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see penult.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, tru accurate, and complete- I am aware that there are significant penalties for submitting false information, Including the possibility, d imprisonwnt for !mowing violations." (Signae ormsttee) (Date) Form SWU-246-062310 Page 2 of 2 Outfall 001 Inches of Rain 1.5 Area Sq Ft Run Off Factor Ft of Rain Cubic Ft Gallons Million Gallons Impervious Area 127000 0.9 0.125 14287.5 106870.5 0,1068705 Grave! 425500 0.5 0.125 26593.75 198921.3 0.19892125 Total 552500 Total Flow 0.30579175 Area x runoff factor x feet of rain = cubic ft of water runoff Cubic feet x 7.48 W gallons AIR A PRODUCTS 1.—. Delegation of Authority to Non -Officer Positions �rEl the unoersigned, rde , in my capacity as Vice Presi_ denj— GIQ,§al gniglneerino of air Chj0*jpls_ fng., pursuant to the Delegations of Authorily Policy, hereby delegates aulhonty as described herein below to the foliowing non officer poeitlon(s). POSITION TIM Amu COmPANy MAmPAAUM VALUE LFWF% Transacl,onrContracr Sea attached Page 2 for list of position titlos NIA DESCRIPTION OF AUTHOfaTY Authority to execute permit applications, permit related submissions and documents. and routine filing$ and documents required by local, stale, and federal regulatory agencies or authorities pertainng to envirOnmenlal, heaflh, and safety compllence for the Wilkes Barre, Gardner, Cryornachinery and Prism Membranes facilities 13Tius a.,% niy may ba sut,dsiagnift wan irM lotlow,++g mWnCl%W* NI anti 0 Ms a,Wrwniy may na be subdatMpaiag, to fake effect when countersfgneo by the Corporate Secretary or any Assistant Corporal* Secretary and to continue in effect for ao tong as the designated pos(Wrl Iftia(s) remain unchang*d, or unid such authority shall be revised or revoked by notice thereof by the undersigned, hIs or her successor in oflfce, or the person to wham the designaled posftlor+(s) report. t Countersigned by ty,rNwJtr:r t rn iA•in[�Ai ( rpOnr G'rrLrr r rill(& Alf? A PRODUCTS L= Delegation of Authority to Non -Officer Positions POSITION nTLE Operalions Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendeni Construction Manager Env'varrrental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialisl Senior Principal Envinxii. entat Specialist wad •.41,. ,.1a �., b0:,rn.,�,e.n,ili 1A M"IMUM VALUE WA ace Analytical' wwwpaoaMbo.00m June 03, 2016 Mr, Levi Owens Alr Products 225 Equity Road Reidsville, NC 27320 RE: Project: STORMWATER Pace Project No.: 92298242 Pace Analytical Services, Inc. 206 East Meadow Road • Suite A Eden, NC 27288 (338)823.8921 NC Department of Enviro RmcelvelQuality JUN282016 V1f inston-5aiem R,eglo+)F-�l Otiice Dear Mr, Owens: Enclosed are the analytical results for sample(s) received by the laboratory on May 19, 2016, The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely,} Brittany Gibson brittany.gibson@pacelabs.com Project Coordinator Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, q without the wrillan consent of Pace Anetylical Services, Inc.. ¢pRASO Page 1 of 9 ac°eAn*tica!' ! www.pacelabscam CERTIFICATIONS Project: STORMWATER Pace Protect No.: 92298242 Charlotte Certification IDS 9800 Klncey Ave. Ste 100, Huntersville, NC 28078 South Carolina Cartiricatlon #: 99006001 North Carolina Drinking Water Certification #: 37706 Florlda/NEL4P Certification #: E87627 North Carolina Field Services Certification #: 5342 Kentucky UST Certlflcation #: 84 North Carolina Wastewater Certlflcation #: 12 VlrginlaNELAP Certlflcation #: 460221 Asheville Cartifleatlon IDS 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certlflcation #: M-NCO30 VlrginlaNELAP Certlflcation #: 460222 North Carolina Drinking Water Certiflcatlon #: 37712 Eden Certification IDS 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633 North Carolina Drinking Water Certiricatlon #: 37738 VirginlafVELAP Certification #; 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)823.8921 Page 2 of 9 Analytical wwwprcvirae.cnm a ANALYTICAL RESULTS Project: STORMWATER Pace project No.: 92298242 Pace Analytical Services, Inc. 205 East Meadow Road - Sul to A Eden, NC 27288 t336 j623.8921 Sample: STORMWATER OUTFALL 1 Lab ID: 92298242001 Collected: 05/17/10 10:00 Received: 05/19/16 11:00 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No, Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 16.4 mgtL 2.6 1 05119/1614:18 HEM, Oil and Grease Analytical Method; EPA 1664B Oil and Grease NO mg/L 6.0 1 06/03/16 08:52 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.51 mg/L 0,12 1 06/02/16 15:33 351.2 Total KJeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, KJeldahl, Total NO mg1L 0.50 1 05/28/16 00:56 7727-37-9 353.2 Nitrogen, NO2/NO3 pros, Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.41 mg/L 0.020 1 06/01/16 22:16 Bate: 06/03/2016 01:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 9 aCeAnalytical *wwpasslabs.aam QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 QC Batch: EDENI22871 Analysts Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 25400 Total Suspended Solids Associated Lab Samples: 92298242001 METHOD BLANK: 1737550 Matrix: Water Associated Lab Samples: 92298242001 Parameter Units Total Suspended Solids mg1L Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 06/19/1611:21 Paco Analytical Serviced, Inc, 205 East Meadow Road - SuRe A Eden, NC 27288 (336)623.8921 LABORATORY CONTROL SAMPLE: 1737551 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 256 102 90.110 SAMPLE DUPLICATE: 1738204 Parameter Total Suspended Solids SAMPLE DUPLICATE: 1738205 92297933003 Dup Units Result Result RPD Qualiflers mg/L 169 200 23 D6 92297949001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 35.3 34.0 4 Results pror'ented on this page are In the units Indicated by the "Units" column except where an alternate unit la presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full, data. nRir m17016 01:02 PM without the written consent of Pace AnaMical Services, Inc.. Page 4 of 9 _ WeAnalX'lcal- wwwPocolabt-com QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 QC Batch: GCSV125163 Analysis Method: EPA 16648 QC Batch Method, EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92298242001 METHOD BLANK: 1747600 Matrix: Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Quallfiers Oil and Grease mg/L NO 5.0 06/03/16 08:45 Pace Analytical Services, Ino. 206 East Meadow Road • Suite A Eden, NC 27288 (336)623.8921 LABORATORY CONTROL SAMPLE: 1747601 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil end Grease mg/L 40 35.2 88 78-114 MATRIX SPIKE SAMPLE: 1747602 35240515001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Greaso mg/L 3,4J 40 42.9 99 78-114 Results presented on this page are In the units indicated by the "Units" column maps whore an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, exceptin full, Date: 06/0312015 01:02 PM without the written consent of Pace Analytical Services, inc.. Page 5 of 9 172ce Analytical wKw,peaslaba,com QUALITY CONTROL DATA Project: STORMWATER Pace Project No.: 92298242 QC Batch: WETA127748 Analysis Method: EPA 351.2 OC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92298242001 METHOD BLANK: 1742451 Matrix: Water Associated Lab Samples: 92298242001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg1L ND 0.50 05/28/16 00:49 Pace Analytical Services, Inc. 205 East Meadow Road • $vile A Eden, NC 27288 (336)023.8921 LABORATORY CONTROL SAMPLE: 1742452 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total mg/L 10 9.9 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1742453 1742454 MS MSD 92298871001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone, Result Result % Rec % Rec Limits RFD Qual Nitrogen, Kjeldahl, Total mglL 30.4 10 10 42.0 42.2 116 117 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1742465 1742456 MS MSD 92298756001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone, Cone, Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mglL 20.2 10 10 30.8 30.7 105 105 90.110 0 Results presented on this page are in the unite indicated by The "Units" column oxcept whore an alternate unit Is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/03/2016 01:02 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9 /7-pa"'Ce Ana 1ytical www.psanlabs.com QUALITY CONTROL DATA Project: STORMWATE.R Pace Project No.: 92298242 QC Batch: WETA/27795 Analysis Method: EPA 353.2 OC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Associated Lab Samples: 92298242001 METHOD BLANK: 1746143 Associated lab Samples: 92298242001 Matrix: Water Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg/L ND 0,020 06/01/16 22:06 Pace Analytical Sorvloes, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.6921 LABORATORY CONTROL SAMPLE: 1746144 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Quaiiners Nitrogen, NO2 plus NO3 mg/L 2.5 2.4 96 9D-110 MATRIX SPIKE b MATRIX SPIKE DUPLICATE: 1746145 1746146 MS MSD 92298219001 Spike Spike MS MSD MS MS0 % Roe Parameter Units Result Cone, Cone. Result Result % Rao % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg1L 0.68 2.5 2.5 3,1 3.0 95 95 75-125 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1746147 1746148 MS MSD 92298654002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone, Cones Result Result % Rae % Rec Llmits RPD Qua[ Nitrogen, NO2 plus NO3 mg1L 0.28 2.5 2.5 2.6 1.9 94 66 75-125 31 M1,R1 Roo ulls proxWed on thtc pogo pro In the units Ind lasted by tho "Units" column except whore an alternate unit Is prosonted to the right of the result. REPORT OF LABORATORY ANALYSIS This re port shalt not be reproduced, except In full, Dale: 06/03/2016 01:02 PM without the written consent of Pace Analytical Services, Inc., Page 7 of 9 arcAnalkical wwwpecefobt.tarr QUALIFIERS Project: STORMWATER Paco Project No.: 92298242 DEFINITIONS Face Analytical Services, Inc, 205 East Meadow Road - Sulle A Eden, NC 27288 (336)623.8921 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MOIL - Adjusted Method Detection Limit. PQL - Practical Quantltation Limit, RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte Is a combined concentration, Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP -Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 Is recommended In SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260, N-Nltrosodlphenylamine decomposes and cannot be separated from Dlphenylamine using Method 8270. The result reported for each analyte Is a combined concentration. Pace Analytical Is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except to full, Date: 06/03/2016 01:02 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 9 -' aceAnalytkal' wwwPeoMe6a.pom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: STORMWATER Pace Project No.: 92298242 Pace Analytical Services, Inc. 205 East Meadow Road • Suite A Eden, NC 27288 (338)823-8921 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92298242001 STORMWATER OUTFALL 1 SM 25400 EDEN/22871 92296242001 STORMWATER OUTFALL 1 EPA 18648 GCSV/25163 92298242001 STORMWATER OUTFALL 1 TKN+NO3+NO2 WET/45296 Calculation 92298242001 STORMWATER OUTFALL i EPA 3612 WETA/27748 92298242001 STORMWATER OUTFALL i EPA 353.2 WETA/27795 Date: 06/03/2010 01:02 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, wtlhoul the written consent of Pace Analytical Services, Inc.. Page 9 of 9 010 ° CHAIN -OF -CUSTODY / Analytical Request Document PaceAnalytical The Chairrof-Custody is a LEGAL DOCUMENT. A!(relevant fields must be completed accurately. a .pates kxam Section A Section B Section C Page: of Required Client triorrrolion: Required Projea tnfotmation: Invoice Information: Report To: r 706 =cmaany. Attention: _ I r� Copy To: Company Name REGULATORY AGENCY less" NPDES ` GROUND WATER C DRINKING WATER i_ UST RCRA OTHER ;rrai To: Purchase Order No.-' Pars 4*.w:e ?.1^e: 4 F ?ro"w Name: Para pn"or Site Location I STATE: Requested Out Date/fAT: Project Number: Requested Analysis Filtered (Y1N) Section O Matrix Codes RegrdredC4ert1ftMM0ion MATRIX ! coon= — o ii iL COLLECTED Preservatives 2 >` Drinkirg Water DW le Z Water WT V O +, Waste taster W W y w E omposrTE ProWa2 P START D AAa w SoiNSolid SL e 0 0 O y _ , SAMPLED oil = 6 0 w a rcc to-z o.g r; l Ak AR w a z m Sanple Ip5 ArI15T BE VNIpUE Trssue TS n O w F .O m In f j Other OT m O j° X a 4 tL m O x O co eff L Q 4 Q ? Z CJ q f0 m L a -• f •. m — m DATE DUE DATE TIME w a 0 = 2 Z Z Z � O ,� Ir Pace Project NoJ Lab I-D. tl. 2 3 4 S 6 j 7 B 9 to ", fit � u � ADDITIONAL COMMENTS RELINOtASHEO BY iAFFILYLTION DATE f1ME`i- ACCEPTED BT t AFFILIATION DATE TIME SAMPLE CONDITIONS SAWLER NAME AND SIGNATURE cl `a 9c ^ 0 Z ' g 5 PRINT Name of SAMPLER: n o v? m z .._ E SIGNATURE of SAMPLER: ' DATE Signed I ri — U b � E in iMMlDgfYYI; ' -kMxtam Nde: 6y sigrdng dis ram you are arcep" Paces NET 30 ray parn bmn we ayeekrg ro ram or L5% per monps for any kmoic nor Raid umtsr 30 days, F-ALL-0-020rev.07. 15-May-2007 V - PaceAnalytical w".puYhhs.tara Section A Required Viient WMabon: Section B Required Project tn1xnm:$ c f = Re;;c-t To: A. -;dress: Copy To: - E.,e To:.. Y Purchase Order No ?:tire; ,Fax Project Name: Requested Due a7teJt-AT: ProjeG Number. f CHAIN -OF -CUSTODY / Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. AV relevant fields must be completed amAat*. Section ?age: of Invoice Information: Section D Matrix Codes rtequlreepwnlrrormndn HAMXICODE o COLLECTED NWng Waler DW a OU zO LVater wr Y 0 WaSfe Water WW I m COLVOWE COwosnE c~i Product P srrm rNo.crua w Sl- p SAMPLE ID �'1lSoid OL 4S l 0 m W } "pe 1NP i4Z69l.) Air AR ta I 4 z Sample 109 MUST BE UNIQUE Tissue TS 0 Other pT X j 1 F z ti CL a i a C N tN,T=_ TIME DAr- TIME I f `` yy 7 I REGULAT0RYAGENCY NPOES GR0UNDwATER DRINKINGveATFR e UST RCRA OTHER $fte La:ation ` S7ATE.' Requested Analysis Fiftered (YIN) Preservatives I ! ETl i II fI I I I 6 � t0 QO � • C a U rs m Q =zz moo., m c o` t m ro W- Pace Project Not La+b J.D. 1 I I 1•. t lS 1 1 1 r i I 1 1 I I ADDMONAL COMMENTS I RELINQUISHED BY I AFFILIATION i DATE T.Lv�""j � • %CCEPTEDff J AFFILfATJON � DATE j TIME sAY.PLE CONDITIONS 1 r T1. ,•-. I :.% �`1/ta.t_ !•� i _ !' e- f �h J.r.� I/,1 I'T I�. I- _ 1 J SAMPLER NAME AND SIGNATURE - - PRIN;�Namc of SAMPLER: - •'t t f i $iGNATURE Of SAMPLER: ' twee: ev syrung :,m tvis: •,vu x e arieatcv Pacts NET 30 day V&MWM Ww s �agroeinq to We rlr.vey.,, rJ t.5`.T rqr tw-monVi myn-'ae: 'Gt 'ra'C w�l.•vi;50 :eyy. j o � F m� � � ..1 ... •^ tr T I G N I a F-ALL-0-020rev.07, 15-May-2007 Reidsville NC Stormwater Sampling Checklist Completed by- Item description 1. Sample during representative* storm event at Outfall #1 *>0.1" rainfall, sampled within 30 minutes of start of event, and no other rainfall event >0.1" in previous 12 hours J 2. Spring sample between April 15t-June 30t or Fall sample between July 1" and December 31st I )V/ 1 3. At least 60 days has passed since last sample taken 4, Sample refrigerated until lab pick-up 5. Calculate rain flow and print spreadsheet 6. Fill out SDO qualitative monitoring report for BOTH outfall 1 & 2. Report any deviations to Site Manager • NC State form SWU-242-XXXXXX j -F)O 7. Fill out form B2 and C2, site inspection and summary 8. Fill out SDO monitoring report • NC State form SWU-246-XXXXXX page 1 �__�___� 9. Fill out Storm event characteristics form • IN(- Mate rorm JVVU-14b-XXXXXX page 2- - 10. After analysis is complete, check results against following benchmark values. Report any deviations to the site manager Total Nitrogen: pH: Oil and Grease: Total Suspended Solids Benchmark Result 30 mg/L mg/L 6-9 su . 7- su 15 mg/L mg/L 100 mg/L mg/L 1 11. Compile all documents listed above, together with analysis results, J scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12, Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville share site CALIBRATION AND SAMPLE ANALYSIS PROCEDURE EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 H analysis must be 2erformed within 30 minutes of sample collection. 1. Turn on pH meter 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe 4. Rinse pH probe with deionized water and blot dry with a clean, soft cloth or tissue. 5. Place both the temperature probe and the pH probe In 7.01 pH buffer solution. 6. Shake the pH probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7. Record temperature and pH reading. 8. Press and hold the CAL button until "CAL" flashes on the screen. 9. Calibration will take approximately 30 seconds. When complete, record final pH reading. 10. Remove probes from 7.01 buffer solution and rinse with delonized water and blot dry with a clean, soft cloth or tissue, 11. Repeat steps 5 through 9 using the 4.01 pH buffer solution 12. Remove probes from 4.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 13. Repeat steps 5 through 9 using the 10.01 pH buffer solution 14. Remove probes from 10.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 15. Insert both probes in the storm water sample, and stir the sample gently to ensure homogeneity and minimize carbon dioxide entrainment. 16. Wait one minute for reading to stabilize. 17. Record temperature and pH reading. 18. Remove probes and rinse pH probe in deionized water. Slot dry with a clean, soft cloth or tissue. 19. Dampen the Inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace cap on probe. CALIBRATION AND SAMPLE RESULTS EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 PH 7,01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Da a Temp Initial I Final Temp Initial Final Temp Initial Final Temp pH s 7 2V 36 G- /0.02 Air Products Internal Use Only Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: Documents.htm#nii CffuLms Permit No.: WC/ 010 6 41 613, G 1 or Certificate of Coverage No.: NJGGI�I Facility Na106Wqh4*q e:[�di -jiff - - - -- County: Phone No, Inspector:5 Date of Inspection: -� /7 1-& Time of Inspection: Q e;, Total Event Precipitation (inches): I Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0,1 inches has occurred. A single storm event may contain up to 10 consecutive flours of no precipi(ation. By this signature, I certify t)-at''o jr,-report is accurate and complete to the best of my knowledge: JPM-<'rS (Signature ofyCrn�tCcce; or Designee) 1. OutfaH Description: Outfall No. - I- -- Struct �j(ipe, ditch, etc.) �t e_, ..._ ..._ Receiving Stream: �-' /t!6M ric--- Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the disch (light, medium, dark) as descriptors: •L r using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odor{• tlu t the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc,): d 0 d4( Page I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy; ] 20 3 4 S 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and � S is the surface covered with floating solids: 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 6 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? YesN 9. Is there evidence of erosion or deposition at the outfall? Yes o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Ala N)r Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-2a2-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: jWp- lh'o.enr, state.nc uslsu11-orms Docuinems.htni#miscfornis Permit No.: NIC/1I Facility Name: County: kf4lpl, Inspector: --I Date of Inspection: Time of Inspection: d l al d 134/ or Certificate of Coverage No.: NIC/Gl�hl_I 1_I_I J<U 17i 71-0 0j Total Event Precipitation (inches): No. Was this a Representative Storm Event? (See information below) Kyes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at Ieast 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I cer�at this report is accurate and complete to the best of my knowledge: (Signaturel6!!6iittee or Designee) I. Outfall Description: Outfall No. — Z Structure (pipe, ditch, etc.) e �� Receiving Stream:^� Describe the industrial activities that occur within the outfall drainage area: _ 2. Color: Describe the color of the discharge (light, medium, dark) as descriptors: r llA basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct tnol ors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Page 1 of 2 SWU-242-112608 10 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 3 4 5 b. Suspended Solids. Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 (2) 3 4 5 7. Is there any foam in the stormwater discharge? Yes o 8. Is there an oil sheen in the stormwater discharge? Yes JNgt} 9. Is there evidence of erosion or deposition at the outfall? Yes j 10 10. Other ObviousIndicators of stormwater Pollution: List and describe ` / � Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242.112608 Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 Telephone (610) 481-4911 Via Fed Ex 7754 5918 7759 20 January 2016 NC DENR Division of Water Resources 450 W Hanes Mill Rd. Ste. 300 Winston-Salem, NC 27105 RE: NCS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: RECEIVED N.C. Dept of ENR JAN 2 5 2016 WINSTON-SALEM REGIONAL OFFICE Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. Please feel free to contact me with any questions or require additional information. I can be reached at (610)481-4755 or creitzib@airproducts.com. Sincerely, nnifer B. rei r. Pr. Envir men al Engineer c. Coray Mitchell —Air Products �. STORMAVA'i ER DISCHARGE OUTFALL (SDO) \MONITORING REPOR"r b6�� Permit Number: ND3o CS or Certificate of Coverage Number: NCG_ F:.CILITY NAME APe-/ (� ., JS, , I he PERSON COLLECTING SAMPLE(S) rS CERTIFIED LABORATORV(S) � G ce AnF+ t. g 1 Lab tr Lab_._.. Part A: Specific Monitoring Requirements SAIIPLI'S COLLI,CTED DURING CAI,I'NDAR YEAR: Zd/s— (This monitoring report shall he received by the Division no later than 30 dal's from the date the faeility receives the sampling result_, From the laboratory.) COUNTY �CC Ki, n �.`' `•-A rA y ONE N"" (' .NATU F 14,1101 PTTEE OR DI-SIGNEE) By this sicrnpull. I cer y that this report is accut•ate complete to the best of my knowledge. Outfall Date 56050 No. Sample Collected Total Flow (if app.) Total Rainfall �H 14 rM pf� f a� N rig �vQ3 / mo/d /vr \4G inches .I7 Does 0iis facility perform VehiCie [Maintenance Activities using more than 55 gallons of new :ni►tor oil per mgnth" I yes _no (if j'es, Completc Part B) Part B: Vehicle Maintemince Arttvity Monitorinu Re►luiremenl� Outf:ill Date 50050 0I)S5( 00530 00400 i !o. Sample Collected Total Flow (if al►plicabk) Total Rainfall Oil ct Gre.rse (if appl.) Nun -polar O&C/TPIi i'Medwd 1.664 if appl. Tota] Suspended Solids pHI New Motor Oil U5:1ge n►o/dd/vr 1I inches 1112/1 mull Units t?al/mo :L Zr IL 4 a I 71 7 Form S %VU-246-0623 10 Page I ol• 2 STOWNI EVENT CIIA ACTE RISTICS: Date 12 z, /r Total Event Precipitation (incites): _ ' Event Duration (hours): 1. Sf (only if al)plicaLle — see permit.) (if snore than omt storm cvew ova: sampl: d) Date _ Total Event Precipitation (inches): Event Duration (hoary): (only if applicable — see perrrtii.) Mail Original and one copy to: Division of Water Quality Aan: Central Files 1617 Mail Service Censer Raieijh. Nortb Carolina 27699-1617 "I certit;v. under penalty of how, that this document and a]I attucliments were prepared under my direction or supervision in accordance witli a systent designed to assort: that qualified personnel properly Lather and evaluate the infornmlion submitted. Ilascd on my inquiry of the person or persutis who innalge the systcin, or those. persons directly responsible for gathering the information, flit information submitted is', to the best of my I,nowled-e and belief, trite, accurate, and complete. I ain aware that there are significant penalties for submitting false information, including the possibility of lines and it)g)risunmenf for knowing violalions." / / .-6 Z�eI (Signn 61 of Pcrinitl ei (Date) Form SWU- 1ri_062310 Pars 2 of STORAIWATER DISCHARGE ObTTALL (SDO) MONITORING REPORT Certiscate of Coverage No. NCG F A C I'L ITY NXIN117 _ f# FL/ / fir CSvi Ile PERSON COLL.ECTFI G SAMPL%S) CE'RTIFEi D LABORUTORI- — 9Gt c ti Lab 4 Lab SAMPLES COLLECTED DURP'G CALENWAR YEAR. Zo l-!� ('Phis monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling` results from the laboratory.) C0UNITY � oCK�y icy PHONE NO. 33G 3 (S ATUIRE O Y Al E, E OR IGNEE) By this signatu I rtify that thus re ort is accurate complete to the best of my lutowledge. Part A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more tban 55 gallons per month of new motor 00 is used) outfall 'N0. I Date # Sample Collected, ma/ddAT Total Rainfall, inches New Motor Oil Usage, Annual average ryat/mo 00S5f] 00530 60400 Oil and Greuse, mg/L Non -polar O&G/ITH (Method 1664 SGT-HE2W, if a2pl. Total Suspended Solids, mg/L pH, Stuudard units Benchmark - 30 15 100 6.0 — 9.0 Note: Ifyou report -a sampled valUe in excess ct the benchmark valoc, or outside- the cc:telutrark raanc for pal, you must implenicnt Tier l or'ficr 2 responses in the Gencral Fe -twit. Mail Original and one copy to: Division of Water Quality A,= Central Piles } 16l7 ?vSaii Service : enter i Raleit h, N' orth Cara lL a' 27699-1617 "I certi y, under penalty of hare, that this document and all attactirnents.were prepared tinder my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the inforrtatioo, the imormation submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am awara that there are significant penalties for suhn0ving false information, including the possibility of fries and iniprisomnent for knowing violatinns." a6�� (Date) Fc;rs S%VU-254-062310 Page 1 of h Outfall 001 Inches of Rain 0.5 Impervious Area Gravel Total Area Sq Ft Run Off Factor Ft of Rain Cubic Ft 127000 0.9 0.0416667 4762.5 425500 0.5 0.0416667 8864.5833 552500 Area x runoff factor x feet of rain = cubic It of water runoff Cubic feet x 7.48 = gallons Gallons Million Gallons 35623.5 0.0356235 66307.08 0,066307083 Total Flow 0.101930583 Al am.' / PRODUCTS gDe/egafion of Authority to Non -Officer Positions r .p 1tL-4•.[ .rrr w .r G The undersigned, Roort 12, C me , m my capacity as Vice President - Global Enameering of Au Products and Chemicals- Inc., pursuant to the Delegations Of Authority Policy, hereby delegates auihonty as described harem below la the follewmg non -officer posilion(s): POSITION TITLE AND COMPANY MAXIMUM VALUE Eoeh TransacswnrConXncX See attached Page 2 for list of pos+IXon titles NIA OESC011"ON OF AUTNOMTY Aulhorily to execute permit applications. permit related submissions and documents. and routine filings and documents required by local, state, and federal regulatory agencies or aulharilies pertaining to environmental• health. and safety compliance for the WI)kes Barre. Gardner. Cryomachinery and Prism Membranes facilities ❑This BUMOMV may be UYbdelagatad wnlh the ronowmg rhlreclans fit any) ® Tits Aulhanry may not be subdah*ai&d, to take effect when countersignso by the Corporate Secretary or any Assistant Corporate Secretary and to continue In effect for so tong as the designated position tille(s) remain unchanged. or unld such authority shall be revised or revoked by notice thereof by the undersigned. his or her successor In office, or the person to whom the designated position(s) report. Sepielurr / �{� i A �. Countersigned by: ' ��� 1 Dole l'uryur.r[r l in:.a.t��h74[ l rPn�a Xt �f'rrt Wr I—, .IT-14. !Ni-rs.L...".-AI AA AIR J*. PRODUCTS 1= Delegation of Authority to Non -Officer Positions POSITION TITLE Operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmentai Engineer Principal Environmental Engineer Sensor Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmentai Specialist Principal Environmental Specialisl Senior Principal Environmental Specialist Lead Environmental Seer:ialist rrAxrMUM VALUE TM! ZO6 Eest Mea&w Road - Sulu A Eden, NC Tras December 30, 2015 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: Air Products Pace Project No.: 92280296 Dear Mr. Owens: Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNi standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Brittany Gibson brittany.gibson@pacelabs.com Project Coordinator Endusurea REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc., Pagel W 9 _ �PfalJr��4>QU o CERTIFICATIONS Proleat Air Products Pace Projed No.: 9228MG Paaa MelyHra1 Series lnc. 205 East Meadow Road -Sub A Eden, NC 2728tt (33SAM I Chariotta Cer0catton Ma - 9800 Khoey Ave. Ste 100, Huntersvilla, NC 28078 Florida/NELAP Certificatton #: E87827 North Carolina Drinking Water Certifioetion #. 37708 Kentucky UST Certification #: 84 North Camfirta Reid Servloes Cartiftostion #: 6342 West VIM inia Certification M. 357 North Carolina Wastewater Certification 0:12 VhgintalVELAP Certification #: 460221 �South Carolina Certtficatton#:99008001_ �� _-- - _--_ . _�. �____ __ ---- ._._r .._____- _-- _ -.•-• Asheville CeRttcation We 2225 Rlverside Drive, Ashaville, NC 28804 North CamU m Wastewater Certification M. 40 Florida/NELAP Certification #: E87648 South Camlirra Certlflcatlon M. 99030001 Massachusette Certification #: M-NC030 West Virginia Certification M 356 North Carolina Drinking Wafer Certification P. 37712 Vlrgi WVILAP Certification #: 480222 Eden CoM iceflon ID8 206 Ead Meadow Road Suite A. Eden, NC 27288 north Carolina Wastewater Certification #: 833 North Carolina Ddntdng Water Certification M. 37M VirgtnialVELAP Certification #: 480026 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Servlcas, Inc.. Page 2 of 9 u� �e6al/YyA®nW„!/ ANALYTICAL RESULTS Project Air Products Pace Project No.: OM0296 Pace Ans"ael SerAces, Inc. 2D6 East M08daw Road • Sulte A Eden, Nc 27m . (338)6238921 Swnple: OUTFALL 1 Lab to: 9=0296001 Collected: 12116/16 08:05 Received: I?!17/1614.30 Matrix Water Parameters Results Units Report Lfmtt OF Prepared ArtsWed CAS No. Qual . 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 10.0 mall. 2.6 1 12/17/1514:40 HEM, Oil and Grasso Analytical Method: EPA 1664E 00 and Grease NO mg/L 6.0 1 12129/15 05.11 Total Nitrogen Calculation Anaklical Method: TKN4.NO3+1102 Ceic uldoti Total Nitrogen 0.36 M91L . .-0.12 1 12130/1510.45 351.2 Total Kleldehl Nitrogen Analytical Method: EPA 3512 Nitrogen, I(jeldehl, Tonal NO MOIL 0.60 1 12=1612:00 7727-37-9 353.21dltrogtiin, N07NO3 Ares. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.17 MOIL 0.020 1 12i2W616:04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 12130/2015 04,46 PM wlttrout the written consent of Pace Analytical Services, Inc- Page 3 of 9 Peas Anafydt al 8eM=s, Inc. 2G8 Eset Meadow Road - Suite A Eden, NC 27M (8S8p3-i3M QUALITY CONTROL DATA Project: Air Products Pace Pmjed No.: 92280296 QC Batas EDEN121140 Analysis Method: SM 2540D QC Batch Method: SM 2540D Anatysls Desedpilon: 25400 Total Suspended Solids Associated Lab Samples: 92280296001 METHOD BLANK 1631717 Matrix Water Associated Lab Samples: 922802s8009 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.6 12117/1514:10 LABORATORY CONTROL SAMPLE: 1831718 Spike LCS LCS % Rao Parameter Units Con& Result % Rao Limits Qualifiere Total Suspended Solids m91L 250 256 1D2 00-110 •'s SAMPLE DUPLICATE: 1831719 922802DO001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 50.0 45.5 10 D6 SAMPLE DUPLICATE: 1631720 M80208001 Dup ti Parameter linos Result Result RPD Qualifiers Total Suspended Solids mglL 68A 68.2 3 Resulte presented on this page are in the units Indicated by the "Units" column except where an alterrwts unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 1213012015 04:46 PM without the written consent of Pace Ana"cal Services, Inc.. Page 4 of 9 - _ . - - ---- - - - - - .17 PaaeAnatyHea! itentee, trta. a 206 East Masdnw Road - Suite A Eden. NC 2M8 �taaat (WSM348921 QUAL r Y CONTROL. DATA Project: Air Products Pace Project No.: 92280298 QC Batch: GCSV/23694 Analysis Method: EPA 1684B QC Battle Method: EPA 1664E Analysis Descript)on: 1604 HEM, 00 and Grease Associated Lob Samples: 92280296001 METHOD BLANK 1S38102 Matncc Water Associated Lab Samples: 0280296001 Blank Reporting Parameter Units Result Limit Analged Qualifiers OII and Grease mg/L NO 6.0 12129M S 06:09 LABORATORY CONTROL SAMPLE: 1638103 ti• Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Umb Qualifiers OA and Grease mg/L 40 34.e 66 78-114 MATRIX SPIKE SAMPLE: 108104 =80098004 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Quellliere Oq and Grease mg/L <6.0 40 37.9 96 78-114 Results prevented an this peg& are in the units Indicatod by the 'Units' column except where an alternate unit Is prevented to the right of the result. REPORT OF LABORATORY ANALYSIS Th1s report shall not be reproduced, except In full, Gate: 12/30/2015 04;46 PM without the written consent of pace Analytical Services, Inca Page 6 of 8 "'�• ram: QUALITY CONTROL DATA Projeet: Air Products Pace Project No.: M80298 Pen AnalAcat Services, Ina. 205 East Meadow Road - Scdto A Eiden, NC 27M (338W3- M1 QC Batch: WETA125930 Analyals Method: EPA 3512 QC Batch Method: EPA 3512 Analysis Description: 351.2 TKN Associated Lab Samples: =80296001 METHOD BLANK: 1637562 Mavk Water Associated Lab Samples: 92280296001 Blank Reporting Parameter Units Result Limit Analyzed Qualltiara Nitrogen, Kjeldehl, Total M91L NO 0.60 12129/1511:50 LABORATORY CONTROL SAMPLE: 16376S3 Spike LCS LCS % Rae Parameter Units Cana. Result % Roo Llraila Qualifiers Nitrogen, Kjeldahl, Total MA 10 10.0 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1637564 1637665 MS MSD 8=80718001 Spike Spike MS MSD MS MSD % Rao Parameter Units Result Cone. Conn Result Result % Rae % Rao Limits RPD Qual Nitrogen, Kjetdahl, Total M91L 10.2 10 10 22.3 21.5 121 113 90"110 4 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1637566 1837607 MS MSD 92280376001 Spike Spike MS MSD MS MSD % Roe Parameter Units Result Conc. Cone. Result Result % Rea % Res Limb RPD Qual Nitrogan, Neldshl, Total mg/L IA 10 10 12.1 12.4 107 110 90-110 3 Results pressMod on this page are In the units Indicated by the "Units" column except whore an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full, Date: 12/30/2015 04:46 PM without trio written consent of Pace Ana;yticel Services. Inc - Page 6 of 8 ` - - - Paco Annlytical BaMeea, Inc. ` aEden, 2D5 East Meadow Road - Suite A cejt��� NC 27M WWAFWBmb&O- i336 21 QUALITY CONTROL DATA Project: Air Products Pace Project No.: 92280286 t,C Batch: WETA125902 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nttiita. preserved Associated Lob Samples: OU80290001 METHOD BLANK 1638258 Matrix Water Associated Lob Samples: 922802B$001 Blank Reporting Parameter Units Result Limit Analyzed Qua]lfiers Nitrogen, NO2 plus NO3 mg1L NO 0.020 1212311615-40 LABORATORY CONTROL SAMPLE: 1638259 Spike LCS LIDS % Rec Parameter Units Conc. Result % Rec Umits Qualt iers Nitrogen, NO2 plus NO3 mg1L 2.6 2.4 B5 90-110 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 16=60 1636261 MS MSD WM0087001 Spike Spike MS MSD MS MSD % Rao Parameter Unite Result Conti. Conn Result Result % Rat: % Rec Llmlis RPD Qual Nltmgen, NO2 plus NO3 mg1L NO 2.5 2.6 1.3 1.3 63 63 76-126 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1636282 16=83 MS MSD 92280376001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conti. Conc. Result Result % Rec % Rea Llmlts RPD Qua] Nitrogen, NO2 plus NO3 mglL 0.19 2.6 2.5 2.6 2.6 Be 96 75-125 0 Results presented on this page are in the units Indicated by the'Units" column except where an alternate unit is presented to the right of the reautt REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12/30/2015 04:46 PM without the written consent of Pace Analytical Services, Inc.. Page 7 of 9 I_1'FkceArWcW o meow QUALIFIERS Project" Air Products Pace Project No.: 0=0208 DEFift MONS Pace AnlU"C l Samtcee, Ins. 205 East Meadow Road - Butte A Eden, NC zras {33OWMeM DF - Dilution Factor, If reported, represents the factor applied to the reported data due to dilution of the sample aliquot ND - Not Detected at or above adjusted reporting limit. J - Estimated concentratlon above the adjusted method detection limit and below the adjusted reporting Ilmlt. MDL - Adjusted Method Detection LlmIL PQL - Practical Quantltation Limit. RL - Reporting Limit S - Surrogate 1,2-0Ipharrylhydrazine decomposes to and cannot be separated from Azoberaene using Method 8270. The result for each snalyte Is a combined ooncerttradon. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Corftrol Sample (Duplicate) MS(D) - Matrix Spike (Dupllasta) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SO - Sgico Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be approprlste for 2 Chloroethyivinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended In SW846 Chapter 4 for the analysis of Acroleln and Aeryionitrlle by EPA Method 8260. N-Nllrosodlphenylamine decomposes and cannot be separated from Diphanylemine using Method 8270. The result reported for each anslyte Is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited enalytes. TNI-The NELAC Institute. ANALYTE QUALIFIERS DO The relative percent diffarence (RPD) between the sample and sample duplicate exceeded laboratory control Ilmlte. M1 Matrbc spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12/30/2015 04:46 PM without the written consent of Pace Analytical Services, Inc.. Page a of 9 - _ — - Pace Analytical services, Ino. - 203 East Meadow Road - Sub A Eden, NC 2nu QUALITY CONTROL DATA CROSS REFERENCE TABLE Project Alf ProductB Pace Project No.: 92280298 Analytical Lab 10 Sample 10 QC Batch Method QC Batch Analytical Method Batch 9Z280n8D01 OUTFALL 1 SM 2540D EDEN121140 92260296001 OUTFALL 1 EPA 16848 OCSV123894 922 M6001 OUTFALL 1 TKN+NO3+NO2 WET142241 ". Calt�latlon - 92280288D01 OUTFALL 1 EPA 351.2 WETA125MO 92280296001 OUTFALL 1 EPA 3532 WETA125902 • Date: 1213012015 04:46 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 9 Pacekialytical . pace labs min CHAIN -OF -CUSTODY ! Analytical Request Document The Chain-aGCuslody is a LEGAL, DOCUMENT. All relevanl fields phist be completed accurately, Section A Section a 5eetion C Page: of s Riccluired !;Bent Inlrrmaliom Required Project Informal ImJeicy Infolmatior. Rev )rt To tnunr,en: Y 194180 Ii i I J ��.:' C (.(< l�7//Y� f � jJ /cl Add!et$L 7 C' �S� .V>l Copy In- CGNIIcr L•. lnrdn.1 REGULATORY AGENCY 17r 4�SP J f/'��� Address ! NiGP.OUND WATER r • , D1�ItJK1tVG YJATER j` LIST I7 RCRA r OTHER r , ,3•/' h /�� l Erlall To �v Yurchasa Urs1er ho,: PaCO Qi101R Duos: r" T C1 !7 !' Ref Fax Project Name: _ Paso Flo;rrl Site Location .7 I Llanarcr: ST.A Tom' Regrrested Dors Date1TAT: Pro;ecl N,imb^.r: Pace Pnrde 1), Ll Reg6sted Analysis Flltered (Y)N) Section 13 Matrix Codes Required Ix!nl Inf-,rrnalim IWJFIX r 001E CGt,LECIED Prey tVatives }` Drinking Water UN Waler INT F 'rJ' z. F �y ) �. Waste Water 4VW 3 V r"• r;G` 57ARTAR7rTE CCiar':'3�7C / /r /r • Produ.4 P SONSDpri SL SAMPLE ID Oil OL m q '- M Wipe Wa -- SWio !D5—li$E UNIQUE Ti�slre, fS C _u.l.. a. __.�-... __ _._ —._ _ q .� w W _� r a: _ _ CA '1—`" VI ` 2 U 4 \� V Omer OT L - J r- J O = OQ. o C rn M '`4w h� V � ////����•{^1)' l/ W Q :C z o � � Q O Cn L L Q. Z 0 v, DATE TIME DniE TIME N = 2 Z Z O y Pace Project Nod Lab I.DF• duiFrtr.L 1 G %' rzt�,�Ord"�f? x Ix, X 2 3 4 '5 H M7 10 11 12 ADDITIONAL COMMENTS • RELINQUISHED BY f AFFILIATION DATE ! TIME ACCEPTED BY I AFPILIATIO14 DATE TIME SAMPLE CONDITIONS .� G2'Ji.,� I i.f�l � �5 1 G% `� 1..�. �.��•13l l�.i _ 6 a J SAMPLER NAME AND SIGNATURE U n c y Pl Namo of SAMPLER: f... t E } ? > n Z a y SIGNATURE of SAMPLER: DATE Signed ll u `—' ab tMM10DfYY1; 'In-.pcdanl PoleFip signin3 phis icrm you we;rp�i Peos'e i{ET X day ❑aymenl rorms end agreel.'lq Ti late charges cf I, % j. Y mWiri far aay invoices not paid whin 30 days. F-ALL-0-020rev.07. 15-ly1ay-id♦77 ZarS Reidsville NC Stormwater Sampling Checklist Completed by�— Item description 1. Sample during representative* storm event at Outfall #1 *>0.1" rainfall, sampled within 30 minutes of start of event, and no tither rainfall event >0.1" in Previaris ii hours J _ 2. Spring sample between April 1ST -June 30th or Fall sample between July 1" and December 315t 3. At feast 60 days has passed since last sample taken I ) fy, 4. Sample refrigerated until lab pick-up S. Calculate rain flow and print spreadsheet Jr 6. Fill out SDO qualitative monitoring report for BOTH outfall 1 & 2. Report any deviations to Site Manager O NC State forrn SWU-242-XXXXXX J� 7. Fill out form B2 and C2, site inspection and summary -1 8. Fill out S_DO monitoring report NC State form SWU-246-XXXXXX page 1 j 9. Fill out Storm event characteristics form o NC. State torn'l SWU-Lob-xxxxxx page 2 _ j !- 10. After analysis is complete, check results against following benchmark values. Report any deviations to the site manager Total Nitrogen: pH: Oil and Grease: Total Suspended Solids: Benchmark Result 30 mg/L ()• 36 mg/L 6-9 su 7,11 _ su 15 mg/L eJ0 rng/L 100 mg/L /a. r, mg/L �,/� 11. Compile all documents listed above, together with analysis results, J i ( scan and send to Environmental Specialist and Site Manager. Store _—__--Lhardcopy in Reidsville plant office 12. Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville share site CALIBRATION AND SAMPLE ANALYSIS PRO, i j :EDURE; EXTECH Oyster-10 pH/mV/Temperature Meter Seria) Numb& 022055 H analysis must be performed within 30 min • Turn on pH meter • Connect temperature and pH probes to meter • Remove storage cap from pH probe • Rinse pH probe with deionized water and blot dry wwith a lean, soft cloth or tissue. • Place both the temperature prone and the pH probe in 7.101 pH buffer solution. • Shake the pH probe gently to dislodge air bubbles and wa t one minute for reading to stabilize. • Record temperature and pH reading. • Press and hold the CAL button until "CAL" flashes on the screen. i • Calibration will take approximately 30 seconds. When complete, �recor inal pH reading. i • Remove probes from 7.01 buffer solution and rinse with c eionized water and blot dry with a clean, soft cloth or tissue. i • Repeat steps 5 through 9 using the 4.C1 pH buffer sclutio i • Rerriove probes frain 4.01 Duffer solution and rinse with c eionized water and blot dry with a clean, soft cloth or tissue. • Repeat steps 5 through 9 using the 10.01 pH buffer solution • Remove probes from 10.01 buffer solution and rinse with deionized water and bict dry with a clean, soft cloth or tissue. I - ! • Insert both probes in the storrrr water sample, arid, stir thc sample gently to e11SUre homogeneity and minimize carbon dioxide entrainment. i' • Wait one minute for reading to stabilize. ' 4 I I 7 I t S i `! r 1 € 3 , i { E l Record temperature and pH reading. o Remove probes wid rinse l)H probe in deionized water. Blot dry with a clean, soft cloth I or tissue. I E ; f o Dampen the inside of the pH storage cap with a small arty unt of pH 4.01 buffer solution and replace cap on probe. i CALIBRATION AND SAMPLE RESULTS EXTECH Oyster-10 pH/mV/Temperature Meter erial Number 022055 pH 7.01 Buffer pig 4.01 Buffer pH 10.61 Buffer Storm Sample Date Temp ! Initial Final Temp 1 Initial Firial T ip I lriitial I Final Temp I pH I 73-_I 17, Xl 17. 01 7y 1 Ll 03 1 �Y(ol17s. S 1ia.oy /0-01 7 11 I Stornmater Discharge Outfall (SDO) Qualitative Monitoring; Report Fua•tuirluat.rc un filliaahart 11ai.c�nrarr, Irle�a.vc visit: I�ttlralli"c}.rin.aatc.nc.us/sulhnr'uls Dc,c uincrrr;.lrrrndliFrsscfr,rrns Permit No.: NICE J-410 W O 13 I U1 or• Ccrtiticme of Covcr,itc No.: NICIGI_l_l—/-1 I —I p',rcifily N:rrne, 7e ��e j — County: _ Km m Phone No. InsIIL'cor: J dm*5 Z90 Date of Insliccaicrn: l Z /L 1.5- -- `I'inic of lctshcction: .� 0'6d0 _ l nr;il F—vent PfeCilpit:ilion (incite;). Was this a Repimsentative SLorin Event? (See infornunion belomo 19i Yes ❑ No Plr.ra+',:' rh<,.k ynrrt �,crtttit tip r c rift/ rf'Qurrlitrrtive llfonitoring must he perlrwmed durh?g ci rcpresentative stil1-01 CIT111 (reglarrt;11 ellr-F var.%')- A-Rehi-e cniativc Storin went" is a sta ni evcrir that ineasures greater than (}- I inches of rahilldl and that. is preceded by ;.it least 72 hours (3 days) in which no storm event ineasuring grciaer Ilan 0. i inches h:is i ocon-red. A ste,rrn evCnt nra�arrrtain Lip to lf} consecutive hours of no precilritutiorr. By Ibis mg al.urc. I Certify ih:st ii r-el,esrt is accost+~ find c0111I)letC to the f7est W' rtty knowledgc.: ( 15n:411F v or Nei- tty ; 1W nesi�^fwu) — - 1. G'utI';iEl f)iScr•iE�liur�: Outfall No. Structarc; (Pipe, Glitch, eta:.) 1 1 t" e Describe lire ilidusu-ial .ictivities lhat i?Ccur within the outf ilf drainaYe W'c,i: 2. 04or•: Dcscrihu tic Color of (lie di-cluti-e using basic colors (red, Drown, blue, etc.) and tint (li�,ht, medium, dark-) as descr-iptc.lrs: 1,���_�i�131^rn - 3. Odor Describe .1ny distinct odors ih�it. the: discharge rn,iy have (i.c., smells stronbly of oil, walk chlorine Woo etc.): �� ff�of - — -- ---- !OTC I OF? swu MI MIS a. Mrily: Choose the nunrber which hest WSW the clarity or•die clinch tile, where I is clear and .5 is eery (Joudy: 1 0 4 5 S. Flolktrng Solids: Choosc: the. numhcr which best describes the amount of M acing sul N hi die stormwatcr discharge. wl€ere I is no w lids and 5 is Ow sw1we covered wills rlomins. solids: 6 2 3 4 5 f. Sushenekrl Wids: Oumse the number which best descrihes the amount orsuspended solids in the ti�rrnw:tter discharge, where I is "n solids and 5 is m r owly trtucicly-. 1 6 3 4 5 7 8. y Is there ally fnxlll in the slormwater discharge? Yes 0 Is therc::rn oil sheen its the stonriwater dls0targe.' Yes E; 11101c evidence Qf cry€sic►n 01- dcllUsitiutl at the qulrall? Yc 0() 11). 01hat' Obvious Indic.04orsol•Sformwilej-Y1llltltion: List and describe NQNc Note: I_.ow e laxity, hi�tilt st)Iiels, astcE/or lhc. Prese ncc of ro,rnt. s>iE Sheen, or e r'n ic�rt/cic Itositiori may he imucative of Ilollr Wla exp€.€sum. 'I'hcse condiiion,s warrant r€rrthel• investigalioll. loge 2 of 2 SwwTv I I m's r SrAr2'. v� V Stornnvater Dischareye Outi'all (SDO) Qualitative Monitoring Report 1'r�r �rrirlrruC2' nrr Ifllirr;, out this fiorm, please visit: hllPa/h�t.t.utu'. lsfi_isc_ti�/�t1/1 ttnnc E)c t_tit�lcrtt.ti.hlrn4+'titi clF r�tss Permit. No.: N/C/ 61 6/ 6/Q/6 / 3 l U/ or Certificate of Covera- No.- NICIGI�I_ Facility N.IrrQre: CllltntV: frttiP�.r:tor: �1 rW1 Date of Inspwc 011: .1'inle c,l` Inspeckoll: Total Iyvent Preuipit.lticui {MC]ICS) Phone No. 7 WIs this a Representative Sturm E:ve rit? (See information below) 8 Yes ❑ No Please c;hi-.—ck yourp(,,rmil to f-rri/}, il'Qrrahieaive rl-lonitoriti.> Hurst be ltetji)rined during rr reprC.reWarive :�'tnrrrr crrrrl {"rrt;lrrirr>rrrr:jrta• ti�rrta�j. A ` Re jm%; c mauve Storm .EVe11t" is a storm event that trlecrsure.. LrC,Oel- thtln 0.1~1tIdICs of rfttnfitll :111d thslt is prc,cc rdccl by pit Ic::1sr 72 holds (3 days) in which t10 S101111 CVCttt 11-1c:lsurinL� [hail 0.1 inches has i I occurred. A sinI2IC S(c.tnrt CVCnt fnay' Cuntairl Ill) tO 10 COnSe:CutiVC hours of no precipitation. Rv this si,.[ ItltI]T-0,.1 cati{*y-'II,'I retort is aCCU rate and conlpfe:te to the Itest of -my lrnow,Icloo: (,SiL-mitlltc, or DcsiLzicc) 1. (?utl.tii �}c:tic:riEstic>'tt: Owf"all No. 2 ` IRIC1,11V (PihC, dilclt, etc.) Rccciviny Stream: 1✓w��eSG"''t C Dc,SC6kC tite inclttS16,11 aC.tivities that oCCur within the ouff,111 drainage area: Vehide �r�/ITh CC 2. 'Color: Duscribe thL ceder€ of,1.hC GW llr-c using basic colors (=de brawn, blue, etc:.) r lld tint (light, medium, dark -) as descriptors: _ Y/ A, _ 3. 3. Qthw: Dc .,nhe any distinct odors that the clischar-C may have (ix- smells stron0y c& nil. wca€c c:h lori ne odor, ctu.): —NaniC - _ - `-- — _— -- ---- -- ' pagc, 1 0,2 SWU- 242-1 12608 % 4p r 4. C hlrily: Choose the number \Bich best describes the clarity of the discharge, where I is clear" 1-111d 5 is very cloudy: i 2 3 4 5 5. hlo:rtinw SO NIIs: Choose 1J7e nu111lter which hest describes the amount of floating solids in the stornmater discharge, where 1 is no solids mid 5 is the surface covered with floatim, solids: 1 2 4 5 6. Suspended Solids: Choose the; number which best describes the amount of suspended solids in the siorinwater dischar,,e, where I is no solids and 5 is extremely muddy: 4 5 7. I.s there :n:y Imull in the stornnvater discharge? Yes f\'u 8. Is there lrl oil screen in the stornrwater discharge? Yes /N 9. Is tht.re CVide:riCC Of'erosiOr: (rr del)ositiun at then outfirll? Yes ONo 10. Other Obvious Indicators t►t' Sturmwater Pollution: List irnd dcacribc 0506 Note: i_,uw cla3 ity, Iii��h Solitf5, .rncllor the I�resenec of foam. oil sheen, or erasion/depositiorl may ha iric.iie;tlive of l}ollutantezf�csstirc. 'These Conditions wsrrmifftrtl.e.r irivesti�oation. 4 AIR A, PRODUCYSZ Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195-1501 Telephone (610) 481-4911 Via Fed Ex 7754 5918 7759 20 January 2016 NC DENR Division of Water Resources 450 W Hanes Mill Rd. Ste. 300 Winston-Saiem, NC 27105 RE: NCS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: ` RECEIVED N.C. Dept of ENR JAN 2 5 2016 WINSTON-SALEM REGIONAL OFFICE Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. Please feel free to contact me with any questions or require additional information. I can be reached at (610)481-4755 or creitzib@airproducts.com. Sincerely, nnifer B. rei r. Pr. Envira mental Engineer c. Coray Mitchell —Air Products STOR,MINTATE• R DISCHARGE OUTF_1LL SDO) ViONITORING REPORT p6�o Permit umber: NCS o3aor Certificate of Coverage Number: NCG FACILITY NAME APO t;�-e, PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) _{Gr ce ffnN )l c L.�b Lab Part A. Specific \Monitoring Requirements SA_IiPLES COLLECTED DURING CALENDAR YEAR: 2,015— ('This nioniioring report shall be received by the Division no later- than 30 days from the date the facility receives flip sampling results front the laboratory.) COUNTY ONE \ ($J41NATU1ffk0F 11,E1b T l'EE OR DESIGNEE) BY this sign re. I certttfy that this report is accurate complete to the best of my knowled("e. Otttfall Date 5 005; 0 I No. i Sample Collected Total Flow (if app.) Total Rainfall 7 � � � � OfCr (OT � f mold /vr !MG inches I I # I 1 i f 1� _ k � i Doe_ ti-is facility perform more Onan 55 gallons of new;nater oii per rtonTh'' � yes _no corr131"l-w Part B) Part B: Vehicle Maintenance Activity \ionitorin+= Regmirements Ootfall Date so0.-�0 00556 00530 00400 No. I � Sample Collected i Total Flow i if ;applicahle) Total Rainfall I Oil fi. Grease (if appl.) Non -polar O&Gf-rPH (Method 1.664 SC"f-Filrllt, if a p1. Total Suspended Solids pH I ?yetis. rlotor Oil Usa c ' mo/dd/yr l \(G inches nmA mRl Units 6 Oil I - i N0 I -6 I I l For!]1 SW"kj-'7i6-t 6=0 pads I cif 2 STORA•I EVENT CHARACTERISTICS - Date S Dale !Z11v - Total Event Precipit:!tlon finches): Event Duration (hours): r 5� (�nl;r it ril��iicnb —see permit.} (if amorc rhaii one storm CVCIiT was ;srnpl xi) Date Total !went Precipitation (inches): Event I3ua-a1ion (hours): (only if aappiicabie — _ee pennit.) flail Original .and one copy to: Divi_rx! of Water Qu3sity AMP: C2rltra! ryes 1.617 Nlail. Service Center Ra1ei?h. t\Nartil C'aralins 276,9;-1.617 "I certifc', under penalty of la%v, that this document and all attachments were prepared tinder my direction or supervisicm in accordance will! :a system designed to assure that qualified pi:rsonnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who anana,e the. system, or those persons directly responsible for gathering the information. the information submitted is. to the best of m ,- l;nowledoc and belief. true. accurate, and complete. I am aware that there are significant penalties for submitting false in]Qrn7ation. including the possihilily of fines and in for knowing violations." n W,)L, ) I.11 (Sign O of Perinift�e� (Date') Fo,nt) SW UT -2 46- 06 2.i 1 i� STORAIWATER DISCHARGE OIJiTALL (SDO) 1•IOYITORLNG RE -PORT Certificate of Cove .g:: No. NCG FACiLnYNA_ IE t4Pe/ 1" fie« /le PERSON` C0LLECTLtiG SAMPL%(S) Cr CERTIFITO LABOPLATORY(S) l?Cif [ 4 / Lab; - - — --..Lab =% - SA-'IeIPLFz COLLECTED DF,;-rta'G CALE\TDAR YEA. : (This monitoring report shall be received by the Division no later than =0 drys from the date the facihty receives the sampling result; from the Iabomtaryj PHOi4M NO. r 334 (S , ATURE O I'13hZMI=E OR SIGNC'EE} By this signa-m f rtify that tiffs report is accurate complete to t1he best of my hmowledg. Fart A: Vehicle 1NIainten2pce Activity Monitoring RegWremeuts (ordy if, on ayerage. more than SS gallons per month of new motor oil is used) Outfsll I Date Ito. f Sample Collected, rno/ddiyr ! Total %ainfall, inebes New Motor Oil Usage, Aarual azeraae 4at/mo 005545 ! D0530 60400 Oil and Grease, 1339/L Ncn-polar O&Gf PH C-Method _ W4 SGT-BI. Tj, if a �i. ' Total Saspended Solids, mg./i pH, Standard emits Benchmark - 3Q Wo rz a1 7S- j Al � f} 1 f N1:o: li yQ_ repo, a ship rd value in excess c the ban:. Mark v:L'uc. or Cutslli: did bczub,% 21--+ 71:1-'•C for Fi,i, yo-L! F3 usl iiriip!cnacnt Tip. 3 o: Mir 2 respwis�s in t_he Gumeral Mail Ori-Lual and one copy to: Div!S:CB of Water Qua ty i 1617 Mail Scrvicn Center i Rele:an, Ncrth CarolLna 27599-1617 l :I cer i fy, under persalty of iziw, that this dccumment and alI tine nluiens.ivere prt Pared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather aad evaivate the imformat:on submitted- Based on my inqui ry of the person or persons who :rmna e the System, or tI]CSs �r: �Jn�� dire^.t ;i r _aon,ible eor �a=liiI n� the infor a',sa!jou tba huror7a?icn subrnHed is, to the best of my Imo'ttledne and Relief, true, accurate, and complete. i am .Var- that there lie sigi0leant pettal";es fa: su,Ct*.ii tic' a false _ u`oi motion, including the posAAl3tr of i7?es and iA]*t]rLioament ft]r lcacn'in.- violalrioas." .77 ...7n S �� �l- 062Z id Page 1 e= 1 Outfaff 001 Inches of Rain 0.5 Area Sq Ft Run Off Factor Ft of Rain Cubic Ft Gallons Million Gallons Imperviaus Area 127000 0.9 0.0416667 4762.5 35623.5 0.0356235 Gravel 425500 0.5 0.0416667 8864.5833 66307.08 0.066307083 Total 552500 Total Flow 0,101930583 Area x runoff !actor x feet of raid = cubic ft of water runoff Cubic feet x 7.48 = gallons A� /. PRODUC 2 .: Delegation of Authority to Non -Officer Positions The undersigned, Robert Q, fonley, to my capacity as Vice P(eligent _Glgbal ling mo eerin9 of Au Producls-m-nrL Chemicals Inc., pursuant to the Delegations of Authorily Policy, hereby delegates auihonly as described herein below to the following non -officer positions); POSMON TITLE AND COMPANY MAXIMUM VALUE Eaen TrsnurnanrCantnet See attached Page 2 far list of position lilies NIA DESCRIPTION OF AUINC)PJTY Authority to execute permll applications, permit related submissions and documents, and routine filings and documents required by local, slate. and federal regulatory agencies or aulhorilies pertaining to environmental• health, and safety compliance for the Wilkes Barre, Gardner, Cryomachinery and Prism Membranes facilities ❑True aulharHy may be subdetegatad wart the totteov-no mllirictons ht anyI ® Trus ruttwrty may noI be aubdelegeted, to lake effect when countersigned by the Corporate secretary or any Assistant Corporate Secretary and to continue in effect for so long as the designated position lille(s) remain unchanged, or unlit such authority shall be revised or revoked by notice thereof by the undersigned, his or her successor to office, of fhe person to wham the designated position(s) report, Iirlfwturr ♦ I nnlr OA Countersigned by- r,,lt,• Ca. W1 lLP Ne t IrT i,3.A+I�at L rperH t!• tirtrr N� r Aff? i. PRODUCTS L= Delegation of Authority to Non -officer Positions POSITION TITLE operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmentat Specialist Lead Environmental Specialist I... r'.IM.IJ•n.I:Mrl.nnrnMeA.,J 14A C 1, ♦ r41., .�.Y., nY MAXIMUM VALUE NIA ^�. k ,"' �,�- -�y :-err--• -n. 3`�. �`.r� t T - - - - - - -- "-- - - Paco MalyYfsal BeMCsa, lno. jt r,i n ^Af Q 7 205 East Msadaw Road •Sufte A Edar NC 27288 December 30, 2015 ' Mr. Levi Owens Air Products 225 Equity Road Reidsville, NO 27320 RE: Project: Air Products Pace Project No.: 92.280298 Dear.Mr. Owens: Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 2015. The results relate only to the samples Included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance.Manual, where applicable, unless otherwise' noted in the body of the report. Analyses were performed at the Pace Analytical Services location Indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Brittany Gibson bdttany.gibson@pacel.abs.com Project Coordinator Enclosures REPORT OF LABORATORY ANALYSIS TWO report shall not be ►eproduced, except in full, without the written consant of Pace AnalyticaI Services, lnc., Page 1 of 9 . � C�B�dTidly�CRI o - CERTIFICATIONS Project Alr Products Pace Project No.: 02280288 . Paca Arielyticai Barrlcea, Ins. _ - _ . 295 Feet Meadow Road • Sub A Eden, NC 27288 (338)t1734e11121 Charlotte Certification IDs 8800 Klncey Ave. Ste 100, HunterevIlle, NC 28078 FloridalNELAP Certificatlon #: E87627 North Carolina Drinking Water Certlflcatlon #. 37705 Kentucky LIST Certification #: 84 North Carollna Field Services Certification #: 6342 West VIrglnia Certification #: 357 North Caroline Wastewater Certificatlon #:12 Vtrginta/VELAP Certificatlon #: 480221 South Carolina Certification # 90008001 Asheville Certlflcation IDs 2225 Riverslde Drive, Asheville, NC 28804 North Carolina Wastewater CeMcatlon #: 40 FlorldalNELAP Certification # E8760 South Carolina Certificatlon #: 88030001 Massachusetts Certification #: M-NC030 West Virginia Certiflcstlon #: 356 North Carolina Drinking Water Certlflcaticn #: 37712 Vlrpinh V`L!LAP Certiflcatlon #: 480222 Eden Certification We 205 East Meadow Road Suite A, Eden, NC 27288 North CamUns Wastewater Cartifioation North Carolina Drinking Water Certification #: 37738 Vlrglnia[VELAP Certiflcatlon # 480025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the wvltten consent of Pace Analytical Services, Inc.. Page 2 of 9 PSce ArrBlyttaa168Mcoo, Inc-. -p 20b Easi Meadow Road-'Sufte A Arr h k _ en, NC 27M Ed +o mm i336jB,29-W21 ' ANALYTICAL RESULTS Project: Air Products Pace Project No.: 9228D296 Sample: QUTFALL 1 _ Lab ID: 922BD206001 Collected: 12/16/15 08:05 Recelved: 12117/1514:30 Matrix Watar Parameters Results. Untts Report Llmft OF Prepared AnsWad CAS No. Qual y 2540D Total Suspended Solids Analytical Method: SM 25400 Total Suspended Solids 10.6 mg& 2.6 1 12/1711514:48 HEM, Oil and Grease Analytical Method: EPA 16648 OD and Grease NO mg/L 6.0 1 12/29/15 05:11 Tate# Nltrogsn Calculation AneNllcal Method: TKN4-NO3+NO2 Calculstloir _ Total Nitrogen 0.36 mg/L .' 0.12 1 12130/15 19.45 351.2 Total 4Qeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, KJeldahl, Total NO mg/L 0.60 1 12129/1612:00 7727-37-9 353.2 Nitrogen, NO2IN03 prey. Anslyttcal Method: EPA 363.2 Nitrogen, NO2 plus NO3 0.17 mg/L 0.020 1 12/23/1516,04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in lull. Date: i2J3012016 04:46 PM without the written consent nI Pace Analytical Services, Inc,. Page 3 of 9 _ - Paine AnWAGel SsMw% Inc.' .` a 205 EW Meadow Road - Suits A Eden. �NNCJJ 27288 'f PW A2�m QUALITY CONTROL DATA Project Alr Products Pace Proud No.: 92280298 QC Batch: EDEhtl21140 Analysts Method: SM 2644D QC Batch Method: SM 2540D Analysts Description: 2640D Total Suspended Solids Associated Lab Samples: 9=80208001 METHOD BLANK: 1631717 Matrix Water Associated Lab Samples: 922B0286DD1 Blank Reporting Parameter Units Result Llmft Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 12/17/1514:10 , LABORATORY CONTROL SAMPLE: 1631718 Spike LC5 LCS % Roe Parameter Units Cana Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 256 102 90-110 SAMPLE DUPLICATE: 1831719 92280206001 Dup Parameter Units Result. Result RPD Qualifiers Total Suspended Solids mglL 50.0 45.5 10 D6 SAMPLE DUPLICATE: 1631720 02280268001 Dup Parameter Unft Result Result RPD Qualifiers Total Suspended Solids molt. 68.4 66.2 3 Rosults presented on this page are In the units Indicated by the "UnIts" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2015 04:46 PM wlihoul the written consent of Pace Analytical Services, Inc.. Page 4 of 9 - 1 0 208 East Meadow Road-; Sub A Eden, NC 2T2U .1-' sarnpe�a9amom ; . - (398}B'29T8921 QUAfLiTY CONTROL DATA PrcJea: Atr Products Pace Project No.: 82280288 ' QC Batch: GCSV123884 Anatysls Method: EPA 18548 QC Batch Method: EPA 188413 Anafysls.06scrtptlon: 1884 HEM, 011 and Greasa i Assocated Lab Samples: 92280298001 METHOD BLANK: 1638102 Matrtx Water Associated Lab Samples: SUB0296001 .. Blank Reporting Parameter Unfts Result Umlt Anslyzed Quallflers Ofl and Grease m81L ND 6.0 12/20/16 05:09 LABORATORY CONTROL SAMPLE; 1838i 03 Spike LCS LCS % Roe Parameter Units Cane. Result' % Rec Limits QualHiere 09 and Grease mglL 40 34.0 , 86 78-114 MATRIX SPIKE SAMPLE: 1836104 ' - 9226na98oaa . Parameter Units Result O11 and Grease m91L a54 Spi Con ke Ms Ms a Result % Rec 40 37.9 96 71; Roo Limits Quallfiers 78-114 Resuna presented on this page are in the units Indicated by the "Units" column accept where an alternate unit Is prese+rted to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/30/2016 04:46 PM without the written consent of Pacej A atytical Services, lnc_ Page 5 of 9 "•r• rr: Pace Ans"cal $erta om tne. 205 Eset Meadow Road- Sub A Eden. NO 27288 QUALITY CONTROL DATA Project: Air Products Pace Project No.: =80298 QC Batch: WETA125930 Anatyats Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Descrlptlon: 351.2 TKN Associated Lab Samples: =80296001 METHOD BLANK 1637582 Matrix: Water Associated Lab Samples: 92280296001 Parameter Units Nitrogen, Kjeldahi, Total mg& LABORATORY CONTROL SAMPLE: 1837563 Blank Reporting Result Llmlt Analyzed Qualifiers ND 0.50 12/20/15 1 T:50 Spike LCS LCS % Rao Parameter Units Cana Result % Roe Limits Qualmors Nitrogen, Kjeldahl, Total mg/L 10 10.0 106 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1637564 1837585 MS MSD OMS0718001 Spike Spike MS MSD MS MSD % Roe Parameter Untfa Result Conc. Cone. Result Result % Rao % Rao Limits RPD Qual Nitrogen, Kjeldahl, Total mg/L 10.2 10 10 22.3 21.5 121 113 90-110 4 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1637580 1637667- t. MS MSD 92280376001 Spike Spice MS MSD MS MSD % Roo Parameter Unite Result Cone. Conn • Result Rem" % Rec % Rao Llmlts RPD Qual Nitrogen, Kjoldehl, Total mg/L 1.4 10 10 1211 12A 107 110 M110 3 Results presented on this papa ore In the unit@ Indicated by the "Units" column except whore an alternate unit Is presented to the right of the rssull. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12/30/2015 04:46 PM without Ind written consent of Pace Ana'.yticel Services. Inc- Page 6 of 9 .-•r.SYFY.9:'� �^Y'. r.` -`S vrr,.. _ r• .•.1-r •.• •.r-•..- � -•r.- S "T-'; ,Ca .w- _ ,�-•. .., _. ..: .. Puce Analytical aa..tvtcas,_... Ina._ CB `-�� 205 East Meadow Road •- S_ ulte A ��41,m••!t Eden, NC 277B8 . {338}ti23-8 . QUALITY CONTROL DATA Pmlerb . Alr Products Pace Project No.: 92280296 QC Batch: WETA126902 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 3532 Nitrate Nitrlta, preserved Associated Lab Samples: 92280296001 METHOD BLANK 1030268 Matrix Water Associated Lab Samples: 92280298001' Blank Reporting Parameter Units Result Limit Analyzed QualHlere Nitrogen, NO2 plus NO3 mg1L ND 0.020 12/23/15 16:4A LABORATORY CONTROL SAMPLE: 1030269 Spike LCS LCS % Rea Parameter Units Conc. Result %Rea Limits Qualifiers Nitrogen, NO2 plus NO3 mg1L 2.5 2.4 95 90-110 MATRIX SPIKE 8t MATRIX SPIKE DUPLICATE: 1636280 1638261 MS MSD OM80087001 Spike Spike MS MSD MS MSD % Ras Parameter Unite Result Cont. Cones Result Result % Roo % Rea Limits RPD Qual Nitrogen, NO2 plus NO3 mg1L ND 2.5 2.6 1.3 1.3 63 53 75-126 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1638262 1836283 MS MSD 92280376001 Spike Spike MS MSD MS MSO % Rae Parameter Unite Result Cont. Conc. Result Result % Rec % Rec Limits RPD Qua] Nitrogen, NO2 plus NO3 moll. 0.19 2.6 2.6 2.6 2.6 Be 98 76-125 0 Results presertted on this page are in the. unhs Indicated by the "Units" column kept where On ehornate unit Is presented to the rtght of the result. REPORT OIL LABORATORY ANALYSIS This report Shall not be reproduced. except In full, Date: 12/3012015 04:46 PM without the written consent of Pace Me#ytical Services. Inu- Page 7 of 9 QUALIFIERS Project: Air Products Pace Project No.: =80298 qJJ I` �l • .F3 Pate Antatocal Be Woes, Inc. 205 East Meadow Road - SWW A Eden, NC 27288 (398)823-8921 DF - Dtlutlon Factor, If reported, represents the factor applied to the reported data due to dilution of the sample aliquot ND - Not Detected at or above adjusted reporting [1mIL J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting IlmtL MDL - Adjusted Method Detection Limit PQL - Practical Quantltetlon Limit RL - Reporting LWL S - Surrogate 1,2-Dlphenylhydmzlne decomposes to and cannot be separated from Azobenzena using Method 8270. The result for each anatyte is a combined concentration. Conslatent with EPA guidelines, unroundad data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Semple (Duplicate) MS(D) - Matt( Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SO - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroathylvinyl other, Styrene, and Vinyl chiorlde. A separate vial preserved to a pH of 4-6 Is recommended In SW846 Chapter 4 for the analysis of Acroleln and Acrylonitrlle by EPA Method 8260. N-Nltrosodlphenylamine decomposes and cannot be separated from Dlphenylemine using Method 8270. The resultreported for each analyte Is a combined concentration. Pace Analytical Is TNI accredited. Contact your Pace PM for the current list of accredited onelytes. TNI - The NELAC Institute. AiNALY'TE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceaded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 12/30/2015 04:46 PM without the written consent of Pace Analytical Services. Inc- Page a of 9 r Pace Anelytical Ssrvlcas, Inm r p 205 East Meadow. Road .,Suite A _ E-dan, NC i72aa I33ON123.8921 QUALITY CONTROL. DATA CROSS REFERENCE TABLE Project: - . Air Products Pecs Project No.: =80298 _ Analytical Lab 10 Sampta ID QC Batch Method QC Batch Analytical Method Batch 9=0206061. OUTFALL 1 SM 25400 EDEN12114D ' 02280200001 OUTFACE 1 EPA 1864E GCSV 3s94 02280206001 OUTFALL 1 TKN+NO3+NO2 WETl42241 Calculation 9228M60D1 OUTFALL 1 . EPA 361.2 WErAr25930 92280296001 OUTFALL 1 EPA 3533.2 WETAW902 REPORT OF LABORATORY ANALYSIS Thla report shall not be reproduced, excapt in full, Date: 12130/20-15 04:46 PM wllhout the written consent of Pace Analytical SeNces, Inc.- page 9 of 9 ce /1, na,�I!fical CHAIN -OF -CUSTODY / Analytical Request Document ile, ChcJn-rf,-1,5;Wy is a •_EC -AL 30CLIKIE H T. All elermri( fici.n alk,st IX- camp!ete;§ a B Secticn C of R,quirad 0 lrfcrwalf�::ti. Rnquirod 1:,f*J:m,-.jj:,n !1ANM1I:,.j1. C 41 ts J_ I, y CJ;V_Gny N;i'me. R IF C Ij LA r(;S Y A' : F WC Y OTHER L Site Loc3!;on STATE: Requesled Due DWeP I AT! r, pz� Roqutillwl Aiiaiysi% Fillercr; (YIN) sactiorl, r) tlatfix ",-des C 1- COLLE;: D Waier ,T -lid S AIR P P L E ID �pe WF < uj Iris EE UNIQUE Tissue ;'S l "Ifler OT u z LU cj I qjt 0 Ijj DATEE Ti,ME DATE TWE < ul 21 z 2 I Z z Pace Project Nod Lab 3 4 '5 7 21 ADDITIONAL COMMENTS RELINOUISHEl') GY I AFFILIATION DATE rjr.jr _LL ACCEPTED BY I AFFILIATION DATE TU.IF SAMPLE CONDITIONS ta SAMPLER J%IAME AND SIGNATURF Pr, 'INT Nima of SAMPLER: Z SIGNATLJRE cl SAMPLER; GATE Signed E L; -F F ch1V1E1rIYyj: Xc-le, Sy nnn,I l7;.5 yn.0 zia a xttG­, F.,lm's 1qST 3.'.- Gay p2)"ne"I lvms 4la!e ;,` ,aee. or P-1 fur .1,y i 30 days FF.ALL-()-02".-v W. 17_-N1zy-2Z07 Reidsville NC Stormwater Sampling Checklist -Completed by: � item description --__ ,)t 1. Sample during representative* storm event at Outfall 41 >0.1." rainfall, sampled withii7 30 minutes of start of event, and no other rainfall event >0j" if) _ previous 72 haUrs _ R 2. Spring sample between April 1-t-June 30" or Fall sample between July 1st and December 31't �3. At least 60 days has passed since last sample taken 4. Sample refrigerated until lab picl<-up — —� 5. Calculate rain flow and print spreadsheet J f> 6. Fill out SDO qualitative monitoring report for BOI-11 outfall 1 & 2. — Report any deviations to Site Manager o NC State form SWU-242-XXXXXX_ _ 7. Fill Out form B2 and C2, site inspection and summary 617—_ _ 8. Fill orit SDO monitoring report ^� o NC State form SWU-246-XXXXXX page 1 9. Fill out Storm cver3t characteristics form J NC State form SWU-246-XXXXXX page 2 JFP 10. After analysis is complete, check results against following benchmark Values, Report any deviations to the site manager Total Nitrogen: pH: Oil and Grease: Total Suspended Solids: Benchmark Result 30 mg/L ().36 mg/L 6-9 su 7,11 Su 15 mg/L mg/L 100 mg/L n-ig/L J m 11. Com pile all docuents listed above, together with analysis results, {" scan and send to Environmental Specialist and Site Manager, Store har-dcopy in Reidsville plant office �— 12. Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville sham site CALIBRATION AND SAMPLE ANALYSIS PRO EDLIRE' EXTECH Oyster-:1.0 pH/n)V/Terlperature Meter Seria Numh& 022055 t PH analvsis must be Performed within 30 m€ntrtes of ample collection C Turn on pH meter Y Connect temperature and pH probes to meter O Remove storage cap from pH probe Rinse pH probe with deionized water and blot dry w€th a lean, soft cloth or tissue Place bath the terrrperature prole and the pH prof)e_ to 7. A. pH buffer SOILItlOi1. III l Shake the pH probe gently to dislodge air bubbles and wa t one niinute for reading; to stabilize. I;ecar[i temperature and pH reading, � i r Press and hold the CAL button anti€ "CAL" flashes on the screeii. i Calibration will take approximately 30 seconds. When co nplete, record final pH reading;. � I Rerrrove probes from 7.01. buffer solution and rinsi? with c eionized water and blot dry With a clean, soft cloth or tissue. } i i Repeat steps 5 through 9 using the 4.01 pH buffer sa€utio r I I Ren'iove probes fronr 4.01 buffer solution and rinsL with c eionizelf water and blot dry with a clears, soft cloth or tissue. I I Repeat steps 5 through 9 using the 10.01 pH huffe�r soluti n I r Remove probes from 10.01 buffer solution and rinse with deionize d water and blot dry with a clean, soft cloth or tisscre. � t Insert both probes in the storm water samplrr, and, , stir th sample gently to ensure � homogeneity and Minimize carbon dioxide entrain;nlerrt. Wait one mirmte for reading to stabilize. I i I f i o Record terr1perature and pl-i reading. 1 I i I t o Remove probes and rinse pH probe in deionized water. lot dry with a clean, soft eloth I or tiSSnc:. I o Dampen the inside of the pH storage cap with a siYiall am mint of pFl 4.01 buffer solution and replace cap can probe. r CALIBRATION AND SAM.PLE RESULTS EXTECH Oyster-10 pH/mV/Temperatrrre Meter erial Number 022055 j f f t pH 7.01 Buffer Temp Initial Finial pH 4.01 BufEFhijal Temp InitialTemp IIH 1-0.0). Buffer Initial Final Storm Saniple Date Ternlr pH 173 1 7, 7_ 6 7q 03 14,01 17s_ z Stor mwater Discharge ®utfall (SDO) Qugalit7tive Monitorix)g Report i>ur;'trirlrrr!r.r: on_Iillrrr?; ow [hisforarr, pkelsa visit: Iitll�all�"{1.c:n1:�t..StC.311:.11FItil]Il_ul:[IIs Ill!laIIilc ls.IIInIIII1134(:l'o_1I1� Permit No.: Nl(,l 0I�0_l.0 10 /U 13 I0l car Ccrtif"icate of CoveraLzc: No,: NIGG_I T� i�;u;ilityNmuc: irrl5v�f�cP r�—Ll— cownty: c3Gi{�t4 � — Phone No. Dale ol, lnsllc(--tion: —1 Z /6 /.f ---- — - — --- —4� ol,____---- total Pvc:ll_ Prec:ipil;1lion Onchcs) 11l:Is this a I ealrcAMMIive Slornl I7-vent? (Sec; tni'urmarion below) Yes ❑ No Mer sc, dwi-.-k ,oil;— p'rmil to ve:ri& il'Quolilruive Mfwliloriu,l musl he he{/trrrrwd durilig (t rr:prr_scrrlrrlivc .rlorm evcrrl vrrr+]). ;1 Storm f vent" is .1 Stol nt Cvtlrlt that nl[,asures greil(or than 0. f illch(s ul'rainEllf and tll:ll k Ilta: crlud by is le:,lst 72 hours Q (lays) in which no storm event nlerlSI.Wirl" greater Iha[1 0. 1 inches IMS l 'I Occt1'1*t:(1. A sim-le morn event play contaill 1.11) to 10 Consecutive herons of'r10 precipitatioil. 13y this si!;nclture, I certify (11,11 hj.� repurl iS 'ICUIRL(C 111d complete t() the best (ifs my knmvledge.: {S'ig1latrlrL: kA7 Po( 1. [;nlfafl I?irtic;ril�liun: p Ourf'all Nu. -- ! Strttcaurl.{pip(:, ditch, cti•.) -- -- _ -- Not:civing Slruatrl: rr,x'bleSe.+1e------ I?c;scrille lhc: indust.rial activities that Occur wilhin the; outl'all dr,tinaoe area: 2. Colru•: 1)CS(.I"ihc llle COI(W ok tlul: di.'c:h,lr��e using basic colors (reef, brown, blue, etc.) and tint (li!:Ilt, 111c(limil, d;11,k) :I: cltacrilrttu'S: — !r . (Jlit,r: distinct odor,~ th,t. t1w discharge may have. (i.c. smells strorr}gly of oil, Yvcnk callorilic odor, ctc.: U ffc�0 P;1"'t, I of-2 4. Cluril : 01oosc; ill o nunll►c:r wlricII best describes [I EC cl,n-ity (It' Oh' diSGII;trgc, NVIILrc. 1 i5 GIc, u' ilEttl ;1 IS VCr1' clQtfcly; I 02 i 4 y S. Floating Solids: Choosc: €Ile nurtthet• 1vlriclr hest.descrihes ilia wrim"O of t'IMAng MAN Al we stunt►moer discharge:, whc:re: 1 is nn m lick am! 5 is €lre: sul'l:we coverecl with tln::l ke tiUlM: r I) 2 31 4 5 6. Sr►slu:ruled Solids: Clunsc.• Ow rlun111cr which best.desra'ihcs the: amount 0l'susl1errdecl scllicls in 1lre s(.orniwawr clisc:har',_c:, whcrc: 1 is ncl solids crud 5 iti astre111ely tnudtly: I a 3 4 5 7. Is tlte.rc arty foam io Ow storrnwater discharge? 1'cs ?i. Is Illerc an oil sltc•cn in €ire; Storinwatcr 9. Is tlrcrc ovidonce of crosit►n or deposition al tllc outfall'? Yc ss , I (). Other (?viola: Indir.ato►-ti of Ito► rniti°,ttc:r Yc►Ilrrtinn: l_,iti[ :In(l ticsc:rihc IZIOA) Note: Low c;l,u-ily, high solids, ,Irtc or the: prawn e of Rmn; nil slwwq or nuty he indic:irtive of poflu€"1111 c:.xl►0.SlH' :. 'flrest' c:nncliticrrrs warrant lttrtltczr inves€it_allon s1wU-"bkalI wF Storm water Discharge Outhall (SDO) Qufalitative monitoring Report 1`or vIl7olllte,l.' oll lfl!'fnf( rlhlf fit is fi)r"Fll, PICI7SC 1 rISll: ISII]�_llli"_'t_,.�:11[',,t�F1i�I1L'.ilS/ ult�c)r[IIS 04IL1011IZ:11IS.1II1111.111im:ItII'll::; Pc:rmil No.: N/iJ b/ a/� 0/ M 13 UI or Certificate of Covet-R-e No.: N/C/G/—/-- /--l—��l--/ Fact Illy 1\l une: T�Cldsvltj� �C P ___ Coun(y: lac r� �tlrru _ Phonc No. Dille orJilsl)ectioll:Time ol' 1sIspeclion; 1'1�lal F vwlt Procipitalion (inc•hcs): `v "< WV is Illis a R(:I)res<?ntsitivc Sulrll) I v nt? (See iilf'orn)at;olt below) O] Ycs ❑ No I'Icrr.er. chi:ra,: yr w-pe"nnit Tn r-cri/ti' i '{hralitfflive Xlonitorht., must br paifr7nf ed rltcritig rr rrslneselftrrfive rturrlr crr7t! ( re"quir-c'mcnic vary). ,� 'ltt l�rtacnl tliv(..SttTrm l vcnt" is ;) Storm (,Vc 111 thal. uie Islires treater (han 0.1 ilwhcs of rainf;111.:11al that i is pi-cct dcA l.)y}tt I(':rst 72 h(ltlr, (3 LIZINIS) ill which (,Vent ll CkISnr-ill" g;J-C. IICT I.11:ktl 0, 1 inclleS Ilil, oc.ciar•c.cl. A ,iW1IC StUi'nt CVellt rilaY corltn;n ut) to � �} CUllti(:elEl1VC l1011l'ti c)I' rl(T precil�iLttir)n_ -- -- --- ^•r 13)' this SII!Il:1tc11'('•, .1 cel-lifYfilat..lFfS report is aCC(lr;tI.0 allcl cotlll)ide to tlw, hest of my knowic(1ge: (Si,_n:Fltir(; of �P -rillec or Designcc) 1. Oil fl':Elf Desc:ril Uml: :2 Uull,Ell No. —_ z Strts+`•ttrrL: (I)i1iu, (lit(;Il, etc.)etc.)— �9'_w—._---- w-- I�c:cc:i��iny--- D"SCI•i1)C Ill(: ilIdUS11.1.11 F1cliv'l.ies th:tl' oc utir wkhill tllc: oulf,111 drainage nrF.' A evGe 2. Cohw: I)cs(.rihc tilt, color ol'Ill (: iisdl tr,c/using basic Colors (rLll'. brown, Nuc, (Ac.) and lint (light, nic(littm, (,ark) :is clesc,ril)lor,:__-- a. C)thW: ]�csl:rihr, ally (li,liuct odors (hal the dischar-ge Itl:l)' 11,1ve (i.U., snlcllti Strongly of Oil_ wt':lk chlorine odor, oc. j:--N0pjG---- I-ago 1 ol'-' Swt!-2'I:'-1 l"u)5 4. faarily': Choosu 1hc, nurnbur Wllicll !lust describes 111e clarity of tile. diseflat-p,c., tvllcrc; I is c:ieln• :Ind > is vc:r'•y d0LJC1y: I 7_ 3 4 5 -. Floatiiig 5,r1i115: Chorwo the nunl1mr which best cluscr•ibm the ,lnumnt or floating solids hi dic. storimwiter discharge, where; f is no solids and 5 is the surface covered with flotahl ME I (i) 3 d 5 6. Sllspelldetl Sullins: Cimsc solids in the stornnvalter disc;lrirg, wliery I is iro solids wid 5 is (wremely muddy: f � 2 : i �>• 5 7, is tllurc; ally !wall! ill the StOrInWalta discIlarg"e? Yes 8. Is there; ml oil sheen in 1110 s1c>rnlwatol. disclmrge? Yc, (N}� {I. Is thurc, evidence; of crosioll or dellositioll at the ollt.1,1111? Yes 6() 10. 01.11c;1• Obviolls 111dicolor,S all still-111water 111111111ioll: Us[ ;Ind do"C.ribe 4)150E Not(": Low clarity, 11i"h Solids, candor 111C 17rtacnce ur 1•0:un_ coil sbCrn. dray I)C inICIiVe 0 f po H Mmacgxmtlrc- 11wse conditions wan antRIrdwr investigation. 1ATv 2 or 2 • t STORl4IWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 60000A0 or Certificate of Coverage Number: NCG FACILITY NAME 41i PERSON COLLECTING SAA,IPLE(S) J CERTIFIED LABORATORY(S) 4[ I4 Lab # Part A: Specific Monitoring Requirements SAIiPLES COLLECTED DURING CALENDAR YEAR: JgL4 (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 11liZ Kl -Ifhalml PHONE, N0_1,;1/) 3t14 Z:FG Z. By this signature, I certify that this report is acettrate complete to the best of my knowledge. 1 iSample Date 11 Collected K111141 Total, Flow (if app.) 1 Ed EPF& ZZIMi A idii r - Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ✓yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Renuirements Outfall Date 50050 00556 00530 00400 o. Sample Collected Total Flow (if applicable) Total RainfallGrease (if appl.) Non -polar ar-Total O&G/TPH (Method 1664 SGT-HEM), if appl. Suspended Solids PH New.Votor OF Usage nto/dd/ r MG inches In Units al/mo JV 2 -It. 7 Form SWU-246-062310 Page 1 of I STORMWATER DISCrL,RGE OUTFALL (SDO) MONITORING REPORT IVC.S Certificate of Coverage No, NOW 06W30 SAMPLES COLLECTED DURING CALENDAR YEAR: z Of C. (This monitoring report shall be received by the Division no later than 30 days I ! from the date the facility receives the sampling results from the laboratory.) FACILITYNAME A )r Prad`,-L Re{�y► lie Asv COUNTY _ �kUAs + 14 -- CERTIFIED LABORATORY(S) _ f laf 8 44eje4l Lab # Lab # (SIGNAAVU OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Vehicle Maintenanee Activity Monitoring Requirements (only if, on average, more than 55 gallons per mouth of new motor oil is used) Outfall No. Date Sample Collected,, molddiyr Total Rainfall, inches New Motor Oil Usage, Am mal average afto 00556 00530 own Oil and Grease, mg/L Non -polar O&GfTPH (Method 1664 SGT-.REM), if appl. Total Suspended Solids, M91L pH, Standard units Benchmark - - 30 IS 100 6.0 — 9.0 ►d 10 tit, 1-Z 7 nrD ZN. 7 7.1G Note: If you report a sampled value in excess of the bench=k value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit. Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, underyenal!y of law. that this document Find Rif atfichments were prep red ienrl= my Air -action or- supop4sion In aecor-doaeo with --- rt� designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and hnprisoament for knowing violations." -LiL Q-L,� �CW�6�2 NgnaturV Permittee) (Date) __-.. orra SWU-254062310 Page 1 of 1 PrOODU 21- Detegaffon of Authority to Nan-Qlfcer Positions rY M1l.�.ww Irr She UrtOerstpned, Rabart D. Ccrltev_ in my 03pacrty as V rt enl - 6fab I Ertosrfeerin0 Of Q{sMO�Xs WS., pursuant 10 hDe1egaMm of AuOwhy Pofcy. hereby dsloples aul UMy as dnagwd heron below 10 the btbamg non -after posdl0n(s). P0SM ON rirtrt ARM COWAAW Up-W MUM VALU9 See d Page 2 for tlst of pow4on liflea TWA 08SCMMCN OF AUTiits M Ault>ertly to wwcute permit appkaran. per.. ralatad subrriftions and docarrrer>ts. and Muting M;ngs and documents required by local, state. and federal regulatory agencies or crthwitias pertaimrtg 10 envi►onrrterttat health. and safety compliance for the Wakes Barre. Gardner, Cryo rochlnery and Pnsrn Mea*nwms f40111e3 Or►ra wrnonty may On SUeerpI I Win ft forbv^V WWnelnru of •ny} OTAq mUR.ry rnry nor de wbdohiiq a. la lake effetl vrllen cowters(grza by the Gorp*Me Semlary or any Assislartt Cogwale Secrelery end to coniirwe in effect for so " as the mated Pasoan 111WS) remain urrcharrged, or uMd slush aulhasRy fh" be revised or revoked by notice lheM& by the undersigned. ht8 or her suctmor to QW.G. or the yer30n to whom the designated pasition(s) raw. —is,; ajL ontor C!Y r Cohn terWiped by } , "t r �i.rywa9+. S iniA�fht f i t nsr 4rrr��r r Tq+rc S+. r � �� •I..: yl41 • rnnwue.wal � •4t AfR OMODLICiS 'L Delegation of Authority to Non-Offeer Positivns P44nmm rTu Operabpns Manager Lme Site Allow w Asastem Site Manager Sue Supervisor PI M Manager Assistant Plant Manager Plant &Vemlendenl Canstrttc M Marmw Ehviramnamal Manager Enwarmanial Englnw Senior Environrn mW Engmeer Prfnclpal Environmental E-Ob"m Senor Pdm pol Enviroamsnlat Engmeer Load E nwimmmental Engineer Emhmnrrumm Speclobt Senior Env;mnrnentat SpecWsl Prirt:ipW Ermkonnim" SpocUftl Senbr PdrwjpW Enviromnwrtal Speaabt FM I Spry W. 1.13w.InFTM11wI�M�11 it NIA AIR ACTS�r Air Products and Chemicals, Inc. 357 Marian Ave Tamaqua, PA 18252 Telephone (570) 467-4399 June 18, 2014 Division of Water Quality Attn Central Files 1617 Mail Service Center Raleigh, NC 27600-1617 RE: NCSS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. If you have any questions regaring this submission or require additional information, please feel free to contact me directly at 570-467-4399. Sincerely, N J seprnmental a En Specialist Air Products and Chemicals, Inc. Electronic Materials Organization Tamaqua PA 18252 CERTIFIED MAIL: 7013 1090 0001 8611 4303 3t C-- �i @ �C n nn r: r•� o ..� 9 i F j STORMW ATER DISCHARGE OUTFALL (SDO) MONITORING REPORT 7 b Permit Number: NC$ 0 a or Certificate of Coverage Number: NCG FACILITY NAME �� �," 't"'� ••�1VJ le-( ArLi PERSON COLLECTING SAMPL CERTIFIED LABORATORY(S) �CG Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 7-"519 (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) Wih1'M PHONE O. (&&) y5 7196!z ..._ ATURE OF PERMYfTEE OR DESIGNEE) By this signature, I certify that this report Is accurate complete to the best of my knowledge. I 111 1 1 I N 1 S 1 1 1 1 t �� 1 1 1 1• 1 R I I I Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Dyes —no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Reouirements Outfall .No._..._...-.-- Date -Sample---_. --- _---- Collected 56050 00555 00530 00400 _ .Total.Flow _---.......Total (if applicable) Rainfall_ -Off.&.Greco__ (if appl.) .Non -polar-- O&GI"R (Method I664 SGT-HEM), If appl. Total . .- Suspended Solids .pH New -Motor Ot7_ Usage mo/dd/ r MG inches Units al/mo 1 r.( fib 7. Form SNVII-246-062310 Page 1 of 2 STORMWATER DISCHARGE OUTF'ALL (SDO) MONITORING REPORT Certificate of Coverage No. NCG-lam,9y 3y FACILITY NAME PERSON COLLECTING SAMPLE(S) j CERTiFtED LABORATORY(S) P Lab 4- Lab 0 SAMPLES COLLECTED DURING CALENDAR YEAR:.201 (This monitoring report shall he received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTYjGlhlu r►•t l�C��La�►i�air-C���'i�Lr� (SIGMATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of new motor ail is used) Outfall No. Date Sample Collected, moldd/yr Total Rainfall, inches New Motor Oil Usage, Annual average mo 00556 00530 00400 Oil and Grease, mg/L Non -polar O&G/TPH (Method 1664 SGT-HErii), if appL Total Suspended Solids, mg(L pH. Standard twits Benchmark - - - 30 15 100 6.0 — 9.0 r P4 D7. o Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier l or Tier 2 responses in the General Permit. Mail Original and one copy to: Division of Water Quality Attu: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty f Iaw, that this document and all attachments were prepared under my direction or supervision in accordance with a system ditigned to --- -" assure that qualified pe ne l properly gat4�erariii evaiusite the in[armutian stihini#3et1 Rased an my inquiry of the person or gcrsot� whoitt�i3age the sysfem, ar --- those persons directly res nsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true; accurate, and complete. I um aNre that there are s gnificant penalties for submitting false information, including the possibility of iines and imprisonrnent for knowing violations." GIlt�19 (Date) Form SWU-254-062310 Page 1 of I STORM EVENT CHA.RACI'ER1,STiCS: Date /L I Y , Total Event Precipitation (inches): _ f Event Duration (hours): -/ — (only if applicable - see pernvt.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable - seer permit) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who monageAtthe system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and b ief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, includinkthe possibility f fines and imprisonment for knowing violations." 61 1�� +y (Date) Form S WU-246-062310 Page 2 of 2 Outfall 001 Inches of Rain 1.1 Area Sq Ft Impervious Area 127000 Gravel 425500 Total 552500 Run Off Factor Ft of Rain Cubic Ft Gall 0.9 0.0916667 10477.5 78371. 0.5 0.0916667 19502.083 145875. Area x runoff factor x feet of rain = cubic ft of water runoff Cubic feet x 7.48 = gallons Million Gallons 0.0783717 0.145875583 Total Flow 0.224247283 A1R Z. PRODUCTS *.` Delegation of Authority to Non -Officer Positions The undersigned. Robert D. Conley, ,n my capacity as Vice Pfessdenl — Global Engineering of Air Produces and Chemicals. InC.. pursuant to the Delegations of Authority Policy, hereby delegates authority as described herein below 40 the following non -officer posilion(s): POSMON TITLE AN() COMPANY AAAXIMUm vALUE Each TransachoNCOn"c+ See attached Page 2 for list of position lilles NIA DESCRIPTION OF AUTHORITY Authority to execute permit applications, permit related submissions and documents, and routine filings and documents required by local, stale, and federal regulatory agencies or authorities pertaining to environmental. health, and safety compliance for the Wilkes Barre, Gardner, Cryomachinery and Prism Membranes facilities ❑This aulnOnty may be subdelegaled w+lh the rOl[owing re5trrCl+onS ld any) This Aulhonly may rTOi be subdelegaled. to lake effect when countersigned by [he Corporate Secretary or any Assistant Corporate Secretary and to continue in effect for so long as the designated position Gtie(s) remain unchanged, or until such authority shall be revised or revoked by notice thereof by the undersigned, his or her successor in office. or the person to whom the designated positions) report. C -- r3Ntr $IPlnlu+t / Countersigned by: ti' -'- n;+l.• �'u ryu+:,b tir L.n�A..,�L flit (nrpora [[ err rrl.iy' I—i. an, `.In..':nq t, —n „ —AI Dui AIR -'• PRovucTS 1= Delegation of Authority to Non -Officer Positions El,rt.t u,.,., W. I POSITION TITLE MAXIMUM VALUE !i=arh T ran 5.KI,ofvC onvacl I Operations Manager j Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmental Soeciatist NIA aceAnalytical r www.paoslab&cvm May 30, 2014 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: Storm Water Testing WW Pace Project No.: 92201685 Dear Mr. Owens: Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on May 16, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Terri Page terri.page@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 aceAnaiXical www.pacalaLaoom CERTIFICATIONS Project: Storm Water Testing WW Pace Project No.: 92201685 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37705 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification M 12 VrginiaNELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 FloddalNELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification IDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 VrginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, I nc. Page 2 of 13 Pace Analytical Services, Inc. aceArralytica! 205 East Meadow Road - Suite A Eden, NC 27288 wwwpaceJabs.com (336)623-8921 SAMPLE ANALYTE COUNT Project: Storm Water Testing WW Pace Project No.: 92201685 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92201685001 OUTFALL 1 SPRING 2014 SM 2540D CHM 1 PASI-E EPA 1664B CLW 1 PASI-C EPA 351.2 JDA 1 PASI-A EPA 353.2 DMN 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 aceAnalXical www.patalaUmm f ANALYTICAL RESULTS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Storm Water Testing WW Pace Project No.: 92201685 Sample: OUTFALL 1 SPRING 2014 Lab ID: 92201685001 Collected: 05/15/14 12:30 Received: 05/16/14 10:43 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 6.3 mg1L 2.6 1 05/19/14 12:30 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg/L 5.0 1 05/20/14 14i56 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA351.2 Nitrogen, Kjeldahl, Total 0.68 mg/L 0.50 1 05/30/14 16:22 7727-37-9 353.2 Nitrogen, NO2IN03 pres. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.55 mg1L 0.020 1 05/23/14 18:37 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 13 aceAnalytical wwwpaoel 4corn i i Project: Storm Water Testing WW Pace Project No.: 92201686 QC Batch: EDEN114592 OC Batch Method: SM 25400 Associated Lab Samples: 92201685001 METHOD BLANK: 1202007 Associated Lab Samples: 92201685001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 1202008 Parameter Units Total Suspended Solids n i Pate Analytical Services, Inc. 205 East Meadow Road - Suite A Edon, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: SM 25400 Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 05/19/14 12:24 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 238 95 80-120 Results presented on this page are in the units indicated by the "Units' column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the written consent of Pace Analytical Services, Inc. Page 5 of 13 1�55'&e Analytical www.pacalabs.com r I Project: Storm Water Testing WN! Pace Project No.: 92201685 QC Batch: GCSV117663 QC Batch Method: EPA 1664B Associated Lab Samples: 92201585001 METHOD BLANK: 1202826 Associated Lab Samples: 92201685001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 1202827 Parameter Units Oil and Grease mg1L Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 05120/i414:51 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 37.5 94 78-114 MATRIX SPIKE SAMPLE: 1202828 92201875001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 37,1 93 78-114 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the wntten consent of Pace Analytical Services, Inc.. Page 6 of 13 aceAnalytica!® wwwpacehW.com t I Project: Storm Water Testing WVV Pace Project No.: 92201685 QC Batch: WETA119114 QC Batch Method: EPA 351.2 Associated Lab Samples: 92201685001 METHOD BLANK: 1207112 Associated Lab Samples: 92201685001 Parameter Units Nitrogen, Kjeldahl, Total mg1L LABORATORY CONTROL SAMPLE: 1207113 Parameter Units Nitrogen, Kjeldahl, Total mg1L Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)62M921 QUALITY CONTROL DATA Analysis Method: EPA 351.2 Analysis Description: 351.2 TKN Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.50 05130/1415:57 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 10 10.1 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1207114 1207115 MS MSD 92202287001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec limits RPD Qual Nitrogen, Kjeldahl, Total mg1L 6.5 10 10 17.9 16.6 114 101 90-110 7 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1207116 1207117 MS MSD 92201558001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mg1L 2.6 10 10 11.8 12.4 92 98 90-110 5 Results presented on this page are in the unite indicated by the "Units" column except where an alternate unit is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the written consent of Pace Analytical Services, Inc., Page 7of13 aceAnalytical www.pacelabs.com i Project: Storm Water Testing WW Pace Project No.: 92201685 QC Batch: WETA/19101 QC Batch Method: EPA 353.2 Associated Lab Samples: 92201685001 METHOD BLANK: 1206298 Associated Lab Samples: 92201685001 Parameter Units Nitrogen, NO2 plus NO3 mg1L LABORATORY CONTROL SAMPLE: 1206299 Parameter Units Nitrogen, NO2 plus NO3 mg/L Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336 )623-8921 QUALITY CONTROL DATA Analysis Method: EPA 353.2 Analysis Description; 353.2 Nitrate + Nitrite, preserved Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.020 05123/1418:05 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 2.5 2.5 100 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1206300 1206301 MS MSD 92201846001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[ Nitrogen, NO2 plus NO3 mg1L 0.039 2.5 2.5 2.4 2.4 95 94 75-125 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1206302 1206303 MS MSD 92201147001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qua[ Nitrogen, NO2 plus NO3 mg/L ND 2.5 2.5 2.3 2.3 94 93 75-125 0 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the written consent of Pace Analytical Services, tnc.. Page 8 of 13 aceAnalXical www.pacslabs.00m f QUALIFIERS Project: Storm Water Testing W11V Pace Project No.: 92201685 DEFINITIONS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 OF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limil and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Se rvices- Asheville PASI-C Pace Analytical Services - Charlotte PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/30/2014 05:54 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical wwwpscebba.com i QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Storm Water Testing WW Pace Project No.: 92201685 Lab ID Sample ID QC Batch Method QC Batch 92201685001 OUTFALL 1 SPRING 2014 SM 2540D EDEN114592 92201685001 OUTFALL 1 SPRING 2014 EPA 1654B GCSV117663 92201685001 OUTFALL 1 SPRING 2014 40CFR PART 432.2 WET131296 92201685001 OUTFALL 1 SPRING 2014 EPA 351.2 WETAl19114 92201686001 OUTFALL 1 SPRING 2014 EPA 353.2 WETA119101 Date: 05/30/2014 05:54 PM REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Analytical Analytical Method Batch Page 10 of 13 aceAnal ical' CHAIN -OF -CUSTODY 1 Analytical Request Document The Chainof-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Page. of Section A Section B Section C Required Client Information: Required Project Inforratiom Invoice Information: Company: ;P'R Repurt To: Attention: �f 1712502 Address; Copy To: Company Name: P y - - - +• REG_ULATORYAGENCY // �G 4 / J Z� Address: j— NPDES f GROUND WATER j� DRINKING WATER rS/Pace UST RCRA OTHERLd Email To: Purchase Order No,: Oucto xe: Reference: �/ r Project J1Z�J� Name: Pt P'a� Site LocaBon STATE:: - Requested Duo Date/TAT: Project Number: Pace Profile `Requested,Anaty9is Filtered (YIN) z - Section 0 Mafrix Codas IL Required Client Information MATRIX 1 CODE COLLECTED Preservatives- DrinkEng wafer DW O U 0O water WT Ww c solusnfid sL Lj COMP06TEPastWater START (3 c�S SAMPLE ID Wipe °,�L u �? W Z Q - (A-Z, 0-9l ;) Alr AR Sample IDS MUST BE UNIQUE Tissue TS p O w a. Q a i H M •ai /} �O� f�, L # Other OT U x to LU w a Z zS o = A I \ a IC/ nn- �¢ 7 mO 0� Z U m m Q m = Z to Z Q DATE TIME DATE TIME ' _ _ y Pace Project NoJ Lab I.D. 6 23D ,.Z ;3 4 -S '6 7. 's 10 11 I L 12 - ADDITIONAL COMMENTS - - - .RELINQUISHED BY f AFFILIATION ' DATE ' 'TIME ACCEPT D BY (AF LIAT10 TIME SAMPLE CONDITIONS SfIL ! 1 `' LOATE •L—.---- l,;« losis 1, a Li t SAMPLER NAME AND SIGNATURE S u o` 2 ORIGINAL PRINT Name of SAMPLER, - n m ? r o m ~ � `-m' V�� y E SIGNATURE of SAMPLER: DATE TE Signed Sl ra (M rn *Important Note: By Signing this farm you are amepfing Paco s NET 30 day payment terms and agreeing to late charges of 1.5% per month tDrany Invoices not paid wdNn 30 days. f F-ALL-Q-020rev,07, 15-May-2007 CHAIN -OF -CUSTODY,/ Ann loical Request Document The Chain -of -Custody is a LEGAL DOCUMI,N7 All relevant fields must be completed accurately. i aceArialytical' . www.pacaiab®.com Section A Section B S.4,169 Page: of Required Client Infoprmatiion:- '/ 1 Required Projed Information: Invorce P ormatlon: 71 t/1 r, Company:��I'f/Lx741-�3df116 ���YtrGRI Report To: ,-'AtteMio :. - - ' 1 f. � 250:2.�"' Address: - Copy.To: - - Company Name: REGULATORY �AGENCY '" 6''77' Z r Address: r NPDES r . GROUNDWATER r : DRINKING WATER Email To: - 1 Purchase Order No.: -=-+'--*+ Pace Quota ' crieAs�' %Y ,6e4C f �h+ x - - : - Reference: r UST r' RCRA r. ; OTHER rR Fa%: Project Named ' Pace Prgea.. A t Z j Z X IS Manager- Site Location h r V ' Due DatafTAT: - - Project Number. .. ... Papa Prof" p, • f r ' . STATE Y .r Requested Analysis uteied (Y/N y - _ Section D Matrix Codes _ ^ _a z Required Cpenf Information' - MATRIX hCODE $ g COLLECTED . Drinking Water DW a .0 zz . . Water- WT r, WastoWater WW' - cc _coat SITE CNDIGP E -LU (I Product P Soil/Solid Si SAMPLE ID. oiI Ix Wipe o U.,WP {A-Z. 0-9 ! r} Air.' '. AR . a. z Sample IDs MUST BE UNIQUE . Tissue TS • O : a � i Other S OT - ) � ., Z o U ' r#u' co a a d O G W lZ F .. - • ¢ p e to Z U IOD N d7 C' . O N DATE' '- TIME ., DATETIME �: S Z S Z Z O y 4 l,. Pace Project No./ Lab I.D.- owl Ca 3: :4: 7: .. .10 21 12 -ADDITIONAL COMMENTS / RELINQUISHED BY f AFFILIATION DATE: TIME,;:" ACCE D BY A ILU13T0 PATE TIME SAMPLE CONDITIONS _U .. u pf SAMPLER NAME AND SIGNATURE' = - ' . C m - - PRINT Name . � .'.DATE SIGNATURE of SAMPLER;'-'2Y-", (M DDiiYY)tl ra W „'Important Nate: By signing this form you are accepting Pace s NET?Aday peymant terms and agreeing to tote charge$ of 14% per month fu any invoices not paid within 3O days: - F-ALL-"20rov,07, 15-May=2007 Document Name: Sample Condition Upon ..Document Revised: March 13, 2013 �n�Aw Recel t SCUR P e i of 2 Document No.: Issuing Authorities: F-EDN-CS-003-rev.09 Pace Eden Quality Office Client Name: . Where Received: ❑ Huntersviille ❑ Asheville 2' Eden Raleigh Courier (circle): Fed Ex TIPS USPS Client Commercial Pace Other C�ist2slyS.ealarr.CoolerlB.oxPreserrt:_...[)yes_.....❑na..... Seals.intact:_...❑. -yes --.-❑-..no__.._.----- Packing Material: [bubble Wrap []Bubble Bags ❑ None ❑ Other Thermometer Used: IR Gun E0007 Type of Ice: 81ue None . ,0 Samples on'ice, cooling process has begun Temp Correction Factor: Add 1 Subtract _ C Corrected Cooler Temp.: r O C Temp should be above freezing to BBC . Biological Tissue is Frozen: -Yes No r<uA Comments: Oafs and initials of person examining Chain of Custody Present: Wes ❑No OWA f . , - Chain of Cu Filled Out: WYes ❑No ❑NIA 2. Chain of Oustxly Relinquished: 268 ❑Na ❑NM 3. Sampler Name & SI nature on COO: 21%es- ONO. ❑wA 4. Samples Arrived within Hold Time: OYes ONO I INIA 5. Short Hold Time Anal is <72hr :. Dyes Iallo .13 NIA 6. Rush Torn Around Time Requested: G(Yes ❑No ❑ WA 7, Sufficient Volume: ( Yes. ONO ❑wA 8, = Correct Containers Used: -Pace Containers Used: UrYes ❑No VYes ❑No OWA ❑NIA 9. Containers Intact: InYes ❑No , ❑NIA 10. Filtered volume received, for Dissolved tests tlYes ❑No - VWA 11. Sample Labels match COO: -Includes date/timeAD/Anal)sis Matrix: ElYes ❑No OWA 12. Alt containers needing preservation have been checked. All containers needing preservation are found to be In compliance with EPA recommendation. exce irons: VOA, w9onn, TOC, 0&G, WI-10 water} Yes ❑No KY s ❑No OYes ONO ❑NIA ON/A 13. (i Inlltal when oom lend Samples checked for dechlodnation: 4Yes 0No . OWA 14. Headspace In VOA Vials Amm : ❑Yes ONO ZNNIA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # If purchased): ❑Yes ❑No []Yes ❑No WA &A 16. Client NotifieaVont Resolution: Feld Data Required? Y 1 N - Person Contacted:. _. _... Datelrme:_---- Comments/ Resolution: SCURF Review: is !jars: tA I V It 11 Place label here SRF Review: L Date: I OR Note. Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form vAl be sent to the North Carolina DEHNR Certification Office (Le out of hold, incorrect preservative, out of temp, Handwrite project number Incorrect containers) (If no label available) e13of13 Reidsville NC Stormwater Sampling Checklist Completed by: Item description D 1. Sample during representative* storm event at Outfalll#1 '>0.1" rainfall, sampled within 30 minutes of start of event, and no other rainfall event >0.1" in previous 72 hours .� 2. Spring sample between January 1s`-June 30t or Fall sample between L July I" and December 31" 1 L7-0 1 3. At least 60 days has passed since last sample taken I 1 6. Fill out SDO qualitative monitoring report for BOTH o tfall 1 & 2. Report any deviations to Site Manager , • NC State form SWU-242-XXXXXX 4�gt 7. Fill out form B2 and C2, site inspection and summary rU 8. Fill out SDO monitoring report (DO NOT SIGN) 1 Y NC State form SWU-246-XXXXXX page 1 f�C,Tu 9. Fill out Storm event characteristics form (DO NOT SIGN) o NC State form SWU-246-XXXXXX page 2 11 10. After analysis is complete, check results against following benchmark ' values. Report any deviations to the site manager Benchmark I Result Total Nitrogen: 30 mg/L 5. mg/L pH: 6-9 su 7, YO1 su Oil and Grease: 15 mg/L 'I mg/L Total Suspended Solids: 100 mg/L b, 3 1 mg/L 11. Compile all documents listed above, together with analysis results, scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12. Environmental Specialist signs form SWU-246-XXXX0 and sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville share site CALIBRATION AND SAMPLE ANALYSIS PROCEDURE EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 H analvsis mus collection. 1. Turn on pH meter 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe 4. Rinse pH probe with deionized water and blot dry with a clean, soft cloth or tissue. 5. Place both the temperature probe and the pH probe in 7.01 pH buffer solution. 6. Shake the pH probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7_ Record temperature and pH reading. 8. Press and hold the CAL button until "CAL" flashes or. the screen. 9. Calibration will take approximately 30 seconds. When complete, record final pH reading. 10. Remove probes from 7.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 11. Repeat steps 5 through 9 using the 4.01 pH buffer solution 12. Remove probes from'4.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 13. Reheat Steps 5 through 9 using the 10.01 pH buffer solution 14. Remove probes from 1.0.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 15. Insert both probes in the storm water sample, and stir the sample gently to ensure homogeneity and minimize carbon dioxide entrainment. :16. Walt one minute for reading to stabilize. 17. Record temperature and pH reading. 18. Remove probes and rinse pH probe in deionized water. Blot dry with a clean, soft cloth or tissue. 19. Dampen the inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace cap on probe. jj CALIBRATION AND SAMPLE RESULTS EXTECH Ovster-10 off/mV/Temperature Meter Serial Number 022055 pH 7.01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Date Temp Initial Final . Temp Initial Final Temp Initial Final Temp pH -7. & 77 7-Ile b 7 -7 �� �a.-s 1 `Z " 7, Air Products lnternai Use Only Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htti):Mo.cru.stntc.nc.us/su/Forms—Dr)cument.s.htmftmiscform.s Permit No.: NfGol_Ql Facility Name: County: Lr Inspector -14 Date of Inspection: Time of inspection: 01.L2l6l„�l I or Certificate of Coverage No.: NIGGI ! c/Ctr� W 42!w4 I Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) `0] Yes E] No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). I A "Representative Storm Event" is a storm event that treasures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete�o the best 4f my kn (Signature of PerrniWee or Designee) 1. Outfall Description: Outfall No. / Stnlcture (pipe, ditch, etc.) �� e Receiving Stream: ! /C11.?6 / ('d ,ril- C g e Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:._( t5�'i7Jl, _ — .-- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A10 6yei-- Page 1 of 2 S WU-2a2-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, and 5 is very cloudy: 1 2 3 4 5 1 is clear 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating sots: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the storrnwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2! 3 4 5 � i 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes Ci E 10. Other Obvious Indicators of Storrnwater Pollution: List and describe tj bN i I 1 i i I Note: Low clarity, high solids, andfor the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. i Page 2 of 2 SWU-242.112608 Stormwater Discharge 4utfall (SDO) Qualitative Monitoring Report Forguidance onflling out thisfonn, please visit. htty /lh2y.cnr.state.nc.uslsu/Forms Documents htniftiscforms Permit No.: N/Cll 0l �l (>I bl Ib I or Certificate of Coverage No.: JGGI IY%� I I I Facility N a% V21 County: Phone No. ,fit 9 Z Inspector: Date of Inspection: Time of Inspection: D Total Event Precipitation (inches): A I Was this a Representative Storm Event? (See information below) V Yes ❑ No i Please check your permit to verify if Qualitative Monitoring must be performed during a representati ve storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that i is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0. l inches has joccurred. A single storm event may contain up to 10 consecutive hours of no prpcipitatiati. By this signature, I certify that this report is accurate and (Signature of Permittee the best r knowledge: 1. Oatfall Description: Outfall No. ?— Structure (pipe, ditch, etc.) Receiving Stream: 6 Li v)nng cr&Q Describe the industrial activities that occur within the outfall drainage area: I� 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells chlorine odor, etc.): WL%n t? Page 1 of 2 SWU-242-112608 of oil, weak 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: L 20 3 4 5 ` i 5. Floating Solids: Choose the number which best describes the amount of floati . solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 L-- % 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy; 1( 22 3 4 5 1, 1 7. Is there any foam in the stormwater discharge? Yes No— S. 9. Is there an oil sheen in the stormwater discharge? Yes No Is there evidence of erosion or deposition at the outfall? Yes Nq 10. Other Obvious Indicators of Storrnwater Pollution: List and describe fjo Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/depo: indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 may be STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS 6000096 or Certificate of Coverage Number: NCG FACILITYNAME 11-PCt' P4e10JV"L►-E PERSON COLLECTING SAIMPLE(S) LEb! 6�)! ' CERTIFIED LABORATORY(S) i <1 AN4L?1-)(eL, Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: T.0 f LI (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY iwuu� 6 IpM PHONE NO. (33 t, I Iq q- ZR W- (SfGNATURE OF PERMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? k yes _no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No: Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall OR & Grease (if appl-) Non -polar O&GffPA (Method 1664 SGT-HEM). 9 appi. Total Sugpended Solids pH New Motor Oil Usage mdddl r MG inches me 1110 Units ii 25 r , o0, P4 L) 3.1 0 Farm SWU-246-062310 Page I of 2 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Certificate of Coverage No. NCG FACILITY NAME ,&6,' , ra0 ( { E PERSON COLLECTING SAMPLE(S) !r CERTIFIED LAB 0 RATO RY(S) f?f Lab # Lab # SAMPLES COLLECTED DURING CALENDAR YEAR: zo l q (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONE NO. f33( 1 34 % - 2.q (SIGN,IITURE OF PERMiTTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. Part A: Vehicle Maintenance Activity Monitoring Requirements (only if, on average, more than 55 gallons per month of new motor oil is used) Ontfall No. Date Sample Collected, maidd/yr 'Total Rainfall, inches New Motor Oil Usage, Amoral average P—VBlq 00556 00530 00400 Oil and Grease, mg/L Non -polar O&G/rPH (Method 1664 SGT-HEM), if appl. Total Suspended Solids, mPJL pH, Standard units Benchmark - - 30 15 100 6.0 - 9.0 -7 N -P rr M 7. YO Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must inipletnent Tier I or Tier 2 responses in the General Permit. Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Ralei t, North Carolina 27699-1617 "I certify, under penalty of In Mat this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified pFresj�gnlfl roperly gather and evacuate the information submitted. Based on my inquiry of Me person or persons who manage the system, or those persons directlyb a for gathering the information, the information submitted i s, to the but of my knowledge and belief, true, accurate, and complete. I am awn hat there nt penalties for submitting false information, including the passibility of fines and imprisonment for knowing violations." or (Signature o P ttce) (Date) Form SWU-254-062310 Page I of 1 STOILM EVENT CHARACTERISTICS: Date tit 17,51lq Total Event Precipitation (inches): — D Event Duration (hours): _�___ __ _ (only if applicable —sec permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the s em, or those persons directly responsible for gathering the information, the Information submitted Is, to the best of my knowledge and belief. . accurate, and complete. I am aware that there are signiFcant penalties for submitting false information, Including thVmibility of fin and Imprisonment for knowing violations." IZ 4 (Date) Form SWU-246-062310 Page 2 of 2 outfau 001 Inches of Rain 0.22 Area Sq Ft Run Off Factor Ft of Rain Cubic Ft Gallons Million Gallons Impervious Area 127000 0.9 0.0183333 2095.5 15674.34 0.01567434 Gravel 425500 0.5 0,0183333 3900.4167 29175.12 0.029175117 Total 552500 Total Flow 0.044849457 Area x runoff factor x feet of rain = cubic ft of water runoff Cubic feet x 7.48 = gallons AIR /• PRODUCTS fit-.- Delegation of Authority to Non -Officer Positions E= The undersigned. Robert Q, Conley. in my capacity as _Vice President — Global Eny,neerin of A!r Products and Chemicals, lnc.. pursuant to the delegations of Authority Policy, hereby delegates authority as described herein below to the following non officer position(s): POSITION TITLE AND COMPANY MAXIMUM VALUE Each TgnsaCkon/COnIraG See attached Page 2 for list of position titles NIA ❑ESMPTION OF AUTHORITY Authority to execute permit applications. permit related submissions and documents. and routine fifings and documents required by local• state• and federal regulatory agencies or authorities pertaining fo environmental, health, and safety compliance for the Wilkes Barre. Gardner, Cryomachinery and Prism Membranes facilities ❑This aulhordy may be subdelegaled with the forl",ng reslrrcl,pni lot any) Q This aulhonly may not be subde+egated. 10 lake effect when countersigned by the Corporate Secretary or any Assistant Corporate Secretary and to continue in effect for so Fong as the designated position tille(s) remain unchanged, or until such authority shall be reused or revoked by notice thereof by the undersigned, his or her successor in office. or the person to whom the designated posilion(s) report. hH Ir Se�snlirrt / I f" f I L r^ Countersigned by f' !•prw, �v tie t rn:>..,�l�6t [ �rpornw SrCrrt.n v (l: to AIR A Pf?ODUCTS I= Delegation of Authority to Non -Officer Positions I POSITEON TITLE + MAXIMUM VALUE !Farh Tt angad�orvC ont rar1 Operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistanl Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmental SOectalist In. _ :I.-1J....,'011. n11 J..1 NIA www.paoalabs.com 1 December 16, 2014 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 RE: Project: Air Products Pace Project No.: 92227543 Dear Mr. Owens: Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on December 01, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Brittany Gibson for Terri Page terri.page@pacelabs.com Project Manager Enclosures OF LABORATORY ANALYSIS L-J This report shall not be reproduced, except in full, ithout the written consent of Pace Analytical Services, Inc.. w Page 1 of 12 72ceAnalytical wxwpacefabaown r l Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 CERTIFICATIONS Project: Air Products Pace Project No.: 92227543 Charlotte Certification IUs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 Eden Certification ids 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification M 460222 North Carolina Wastewater Certification #: 633 VirginiaNELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 alceAnalytical www.pscawbs.cm 1 ANALYTICAL RESULTS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Air Products Pace Project No.: 92227543 Sample: OUTFALL 001 Lab ID: 92227543001 Collected: 11/25/14 07:30 Received: 12/01/14 14:22 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 3.1 mg/L 2.7 1 12/02/14 14:37 HEM, oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mgJL 5.0 1 12/05/14 13:28 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 0.14 mg/L 0.12 1 12/16/14 15:52 351.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total ND mg/L 0.50 1 12/12/14 14:30 7727-37-9 353.2 Nitrogen, N021NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.14 mg/L 0.020 1 12/10/14 19:20 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/16/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 acemaIxical www.pat we6s.com f Project: Air Products Pace Project No.: 92227543 QC Batch: EDEN116554 QC Batch Method: SM 2540D Associated Lab Samples: 92227543001 METHOD BLANK: 1341224 Associated Lab Samples: 92227543001 Parameter Units Total Suspended Solids mg1L LABORATORY CONTROL SAMPLE: 1341225 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE: 1341226 Parameter Units Total Suspended Solids mg/L Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 2.5 12102M414:36 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 250 252 101 90-110 92227670001 Dup Result Result RPD Qualifiers 78.0 73.5 6 Resuhs presented on tills page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the resutt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/16/2014 04:43 PM without the written consent of PaceAnalytical Services, Inc.. Page 4 of 12 ceAnalytical. www.pecembs.com I QUALITY CONTROL DATA Project: Air Products Pace Project No.: 92227543 QC Batch: GCSVI19698 Analysis Method: EPA 1664E OC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92227543001 METHOD BLANK: 1344728 Associated Lab Samples: 92227543001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 1344729 Parameter Units Oil and Grease mg/L MATRIX SPIKE SAMPLE: 1344730 Parameter Units Oil and Grease mg& Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 12/05/14 13:20 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 35.8 90 78-114 92228007002 Spike MS MS % Rec Result Conc. Result % Rec Limits Qualifiers ND 40 34.4 86 78-114 Results presented on this page are In the un@s Indicated by the "Units" column except where an alternate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 1211612014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 lnoAnalytical www.pacebb3.cam Project: Air Products Pace Project No.: 92227543 QC Batch: WETA121195 QC Batch Method: EPA 351.2 Associated Lab Samples: 92227543001 METHOD BLANK: 1346568 Associated Lab Samples: 92227543001 Parameter Units Nitrogen, Kjeldahl, Total mg1L LABORATORY CONTROL SAMPLE: 1346569 Parameter Units Nitrogen, Kjeldahl, Total mglL Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: EPA 351.2 Analysis Description: 351.2 TKN Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.50 12/12/1414:25 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 10 10.0 100 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1346570 1346571 MS MSD 92228319001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mg1L 1360 1000 1000 2340 1990 98 63 90-110 16 M6,R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1346572 1346573 MS MSD 92227544011 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mglL 11.1 10 10 22.0 22.7 109 116 90-110 3 M1 Resuhs presented on this page are In the units indicated by the "Units" column except where en alternate unit is presented to the right of the result, REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 12116/2014 04:43 PM without the written consent of Pace Analytical Services, Inc,. Page 6 of 12 �Ice Analytical www.pacelaha.com Project: Air Products Pace Project No.: 92227543 QC Batch: WETA121208 QC Batch Method: EPA 353.2 Associated Lab Samples: 92227543001 METHOD BLANK: 1347203 Associated Lab Samples: 92227543001 Parameter Units Nitrogen, NO2 plus NO3 mg1L LABORATORY CONTROL SAMPLE: 1347204 Parameter Units Nitrogen, NO2 plus NO3 mg/L Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: EPA 353.2 Analysis Description: 353.2 Nitrate + Nitrite, preserved Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.020 12/1011419:13 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 2.5 2.5 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1347205 1347206 MS MSD 92227541002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg/L 68.4 2.5 2.5 70.3 70.0 77 65 75-125 0 M6 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1347207 1347208 MS MSD 92227984001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg/L 0.057 2.5 2.5 2.6 2.6 101 100 75-125 0 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fulti, Date: 12/16/2014 04:43 PM without the written consent of Pace Analytical Services, Inc,. Page 7 of 12 Pace Analytical Services, Inc. s 265 East Meadow Road - Suite A ceMalytical Eden. NC 27288 wxwpeae136s.0om (336)623-8921 r I QUALIFIERS Project: Air Products Pace Project No.: 92227543 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes toAzobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/16/2014 04:43 PM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalyhcalo www.pacelBu =n Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Pace Project No.: Air Products 92227543 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92227543001 OUTFALL 001 SM 2540D EDEN116564 92227643001 OUTFALL 001 EPA 1664E GCSVI19698 92227543001 OUTFALL 001 TKN+NO3+NO2 WET134799 Calculation 92227643001 OUTFALL 001 EPA 351.2 WETA121195 92227543001 OUTFALL 001 EPA 353.2 WETA121208 Date: 1211612014 04:43 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical o CHAIN -OF -CUSTODY 1 Analytical Request' Document The Chain -at -Custody fs a LEGAL DOCUMENT. All relevant fields must be completed accurately. ..-.P..........:,: Page: of Section A Section B Section C Required Client Information: Required Project Information: Invoice Information: Company: Report To: Attenlloe: O Add L L 7j Co To: Copy CompanyName: ' - REGULATORY'4GENCY ' t .n„ -1� ���� Ab �.I Address: r NPDES j- GROUND WATER r DRINKING WATER jW UST �` RCRA r OTHER Email To: Purchase Order No.: Pace Quota ,,S Reference: Phone: q D Fax: Project Name: Pars ProteProtecte Site Cocatiort ZLJ ({ Manager: ; �• $TATF: 1 - rt.: Requested Due DatetrAT: Project Number: Pace Profiler: :Requested Analysis Fiitered'{YIN) Section D Matrix Codes` '>7 Required Client information MATRIX !CODE S E COLLECTED Preservatives _ ' Drinking Water DW $ U zD Water WT Waste Water WW c U COMPOSSTARrITE CEM � P couct W i, ? SaIVSolld SL g p � .�► Oik Di SAMPLE ID ° �? w N �} Wipe WP {A-Z, 0-9l ,-) Air AR uJ M W a a Z Q v m I�.. ` 0 /] J Sample IDs MUST BE UNIQUE Tissue TS 0 G- w w H to Z ;v_r. Other OT X W 0 M p C 'rq; .� \ 76 11J1 ~ J J Q.LL m 0- v O 0 O Cn '� '''� 7 N `r \• •� kt — DATE TIME DATE TIME rn # r = = Z Z O y Pace Project Nod Lab I.D. V-r $ "ItshIf 67 3 b 521, i2' ,4. 5' ,7. 8" 4 L12 y A.DDITIDNAL COMMENTS ,' - " RELINQUISHED BY I AFFILIATION - DATE .' - : TIME ACCEPTED BY 1 AFFILIATION DATE TIME SAMPLE CONDITIONS L-Eut SAMPLER NAME'AND SIGNATURE co CD PRINT Name of SAMPLER. �(���yyti,,L f` QRIGINAL JE- mZ `—� SIGNATURE of SAMPLER: DMAMIro�igned / , ! ( NYJ: `E *Important Note; By signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per month for any'Involces not paid Wthdn 30 days. - F-ALL-0-020rev.07, 15-May-2007 / PaceAnal ical' www.pacalabs.com Section A Rnnulrad Client InfmmnnKnn- ;Section B Raouired Protect Information: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody Is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section C I—i Infnrmntlnn' .. Page: a? Company: - Report To: Attention: z I J LJ . I Address: 7 Copy To: an Company Name:- - ,r- REGULi4T012Y �Tt<�14; 2 ���O ' Address: j— .; NPDES .: r' GROUND WATER r, . DRINKING WATER � usr RCRp; .. . r OTHER Email To: - Purchase Order No.: - Quote Pam Rom: • Phone: ' Fax. Project Name: Pace Project. !Site Location 2. Z �f . Manager. ; Requested Due DateITAT: Project Number: Pace. PileSTATE: Requested Analysis Filt J,? - r Sactlon D Matrix Codes Required Client lnforinadon MATRIX' I CODE 3 CO€.LECTEp - Preservatives . Drinking Water DW 'WT O Water Waste water WW U COW-0s� compos", ' Product p SoiflSolid 'SLp' m sTwzT ENDrctue w `f V Z �. •: :' .. ��. SAMPLE ID oil wp (A-Z, a9! • i Air AR Sample IDs MUST BE UNIQUE Tissue TS Other OT a O w o w a Z . 'O ' d t— `k :ftX w ¢ uJ q n N z w Q a j 2 U y 4� ' ro DATE' TIMlS' DATE TIME u) 2 S Z Z 2 O y Pace Project No./'La' b I.D. p t5 o i �' Z -�_ S r iS °4.; N M s3- AL _ ',- ADDITIONAL COMM@NTS� '. R@IJNCUISHED 8Y,! AFFILIATION DATE: r`.. TIME'-t ;-'' 'ACCEPTED BY! AFFILIATION DATE TIME'-. SAMPLE CONDITIONS Of PC15 - ... .: . _ SAMPLER N411AE AND SIGNATURE m PRINT Name of SAMPLER. .-. m m n r SIGNATURE of SAMPLER: 'DATE Signed iMMID DlYY : tZ / / v. h m .0 y w m rn . ' N 'important Note: 4 signing this forth you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% par month for any Invoices not paid wkthin 30 days.._ FALL-Q-020rov.07, 15-May-2007 DoCument IVarne: SamplB; oneli fors; Upon° b6wa ent Revised: Maroh 13, 2013 , At1�1 t(G1�. Recei t SGUR 3.: : _P e 1 of:2 `'": Document No.: lssuJng AuthoKes: ' P-DN-CS-OOS=rev aS :': '; Pace Eden Quati Qice C[lent -Name::' AR l' . More Resetvad ❑ 46tersA116 ❑ Asheville Ed®n ❑ Ra]aigh Courier (cede): Fed Ex .". -.UPS - USPS Client. Commercial )mac Other Custody $eal `on CoaicdBok`Pre�ent:. ❑yee ❑ no Seals Intact ❑yes ❑ rio Pac<dng Mateilal:. [bbfe Wrap, ❑Bubble Bao ❑ None'i Other Thermometer Used [R Gttn F`AOtl7 Tyjie of lc�� f3[ue f l�iohe /samples an �oe;,cooGn pkvoess has begun : n r „+ r 5. Temp Corle�on Fadak- Add } <, Car[edod Choler Temp:: 6, G �;ofaglcW TWW61s Mien.- Yes No .WA ' �d �o�f pet son eii�lning' cnnk0w. Temp•should be etiove freeing to 6'G. ' - Gommen Chain of Present ldYss ONa C7N1A is - Chaln.of Custo1{led Oetr fdYos' C1Na: ©WA 2: Ghaln of Cu 13efin fished . -: t ftis Md -17WA 7 Sam erNarn6 & Sl re bn:COC: Vi6 taw QWA 4: Sam 1esArFNedwithfn#ioid Ttttie:;:; Wes, OADI: ❑wn 6. Short Hold Time Ana ' si§/2hr :�3Yes QiNo. = f7wA 6:" Rush Turn Around Tung Rb' nested, . C7Y.0 too `I~IwA 7. Correct QOlitalg9r8 9d :0.yes Oi4o • OwA 9:: -Pace Containers Efsed: ` : Yea: ONa- CIWA = Containers Intact: 171ves-lrlNo'.,.[:]WA.10: _ :. Entered volume received for Dlssolved tests .. OYes- l7No: QIN1A 11. Sample Labels match oQC:: 2o ,QW .,OWA 12.. -- - AD oonfdners needle nraiion� have been checked. 9 VfYes i7No ONZA 13: All wtalnsrs needing preservation are found to'be to F<JYaa []Na OwA oomprranceWOEPA rec=' enddon .. ..T. -- _ .. ..... .. .. - o VOA, oot€tomr, T(o, w1 DRO LIYe3. PNo . _ tnutal when cfta ' Samples checked for dechlognafron: ' C1v4 , f2. NQ ''Orin 14 iieadspaoe 1n VOA Vials'6UMt , :. [7Yes'ONo :I;INlA 15 ' Trip B"Present: E)Yea :ONO NIA 1$: Trip Blank Custody Seas Preset C}Yes ENa^` dt�rq Paw TrIp Wank Lot 9'f Odiafi;is6dYi _ Page 12 of 12 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. htM://h2o.enr.statr,nc.us/su/Fon-ns ocurnents.htm#miser rms Permit No.: �VIG�l�f t3 /�1 b/, / / or Certificate of Coverage No.: N Cj01_J _j 1 I 1 Facility Name: RGlc15y//1e Ate/ County: ram" 1+ a r,n Phone No. C3 (1) 16 17- - inspector: _ GeL 2We-P t f Date of Inspection: Time of Inspection: 673b — —,-•-- —,__,. _ Total Event Precipitation (inches): D • Z 2- _ Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 4 A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has 3 occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. — By this signature, I certify that this report is accurate and complete to the pot of my knowledge: (Signature of Pierminee or Designee) 1. Outfall Description: Outfall No. L_ Structure (pipe, ditch, etc.) lae Receiving Stream: _ ^rrn-�.�Ir—rdY► r^i�e►�_ - - Describe the industrial activities that occur within the outfatl drainage area: Ar 2. Color: Describe the color of the dlschar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: /7� r Arzs�� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Sek anl2k--- Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 3 4- 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solid s and 5 is extremely muddy:. 1 3 4 . 5 7. Is there any foam in the stormwater discharge? Yes 6Nq/ 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfali? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Alor?e Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosiun/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S WU-242.112W Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance orefilling out this form, please visit: http://h2o.enr state,nc.uslsu/Form-4 Doe umentG,htm#mi5crorms Permit No.: NICJQI olv /U I U l�bl or Certificate of Coverage No.: JGGI 1 1 1 I 1 I Facility Name: County: jed c + "Sk Phone No. ge- Y Inspector: 0),V-6 t ' Date of Inspection: 1 /4alY Time of inspection: 6,�z30 Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). A "Representative Sturm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no vrecivitatilM. # By this signature, I certify that this report is accurate and complete to the best of my (Signature of Permittee 1. Outfall Description: Outfall No. _— Structure (pipe, ditch, etc.) Receiving Stream: r vu /c-s'o'- e-c Describe the industrial activities that occur within the outfall drainage area: t/ k. cfp cu'Tig.. 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: /f b,-ww , 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ IL Ode _ -- — Page t of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes Cp 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfail? Yes No 10. Other Obvious indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112609 Reidsville NC Stormwater Sampling Checklist Completed by: Item description L.-Y-D 1. Sample during representative* storm event at Outfall #1 1>0.1" rainfall, sampled within 30 minutes of start of event, and no other rainfall event >0.1" in previous 72 hours 2. Spring sample between January 1"-June 30t or Fall sample between L� July 1" and December 31" t~ 3. At least 60 days has passed since last sample taken tau 4. Sample refrigerated until lab pick-up S. Calculate rain flow and print spreadsheet 6. Fill out SDO qualitative monitoring report for BOTH outfall 1 & 2. Report any deviations to Site Manager * NC State form SWU-242-XXXXXX LTU 7. Fill out form 82 and C2, site inspection and summary 8. Fill out SDO monitoring report (DO NOT SIGN) a NC State form SWU-246-XXXXXX rwe 1 1 9. Fill out Storm event characteristics form (DO NOT SIGN) i lvL dale Torm swu-<<+o-AAAAAA page z 10. After analysis is complete, check results against following benchmark values. 'Report any deviations to the site manager Benchmark Result Total Nitrogen: 30 mg/L to -A - n.ky mg/L pH: 6-9 su 7. U0 su Oil and Grease: 15 mg/L W D mg/L Total Suspended Solids: 100 mg/L 3,1 mg/L 11. Compile all documents listed above, together with analysis results, scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12. Environmental Specialist signs form SWU-246-XXXXXX and sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville share site CALIBRATION AND SAMPLE ANALYSIS PROCEDURE EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 pH analysis must be performed within 30 minutes of sample collection. 1. Turn on pH meter 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe 4. Rinse pH probe with deionized water and blot dry with a clean, soft cloth or tissue. 5. Place both the temperature probe and the pH probe in 7.01 pH buffer solution. 6. Shake the pH probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7. Record temperature and pH reading. 8. Press and hold the CAL button until "CAL" flashes on the screen. 9. Calibration will take approximately 30 seconds. When complete, record final pH reading. 10. Remove probes from 7.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 11. Repeat steps 5 through 9 using the 4.01 pH buffer solution 12. Remove probes from 4.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 13. Repeat steps 5 through 9 using the 10.01 pH buffer solution 14. Remove probes from 10.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 15. Insert both probes in the storm water sample, and stir the sample gently to ensure homogeneity and minimize carbon dioxide entrainment. 16. Wait one minute for reading to stabilize. 17. Record temperature and pH reading. 18. Remove probes and rinse pH probe in deionized water. Blot dry with a clean, soft cloth or tissue. 19. Dampen the inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace cap on probe. CALIBRATION AND SAMPLE RESULTS EXTECH Oyster•10 pH/mV/Temperature Meter Serial Number 022055 pH 7.01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Date Temp Initial Final Temp Initial Final Temp Initial Final Temp pH �r(zc:,liy S.C. 6.90 7.�/ S5, 5 y L, 1-02- I/O,c:r 55, Z 7Yb Air Products Internal Use Only I Facility: Reldsvllle NC WORKSHEET B2 Rev.: B INVENTORY OF SIGNIFICANT MATERIALS Date: 06126MI { INSTRUCTIONS Page 1 of 1 1. Make a copy of this worksheet to conduct an inspection of the potential pollutant sources listed In this worksheet. Documented Inspections must be conducted at the frequency specified in Section 8.1.4 of this Plan. 2. Use the following criteria when conducting the inspection: • Observe piping, hoses, valves, pumps and connections for leaks, excessive wear or potential discharges. • Observe process equipment, bulk storage containers, fuel islands, tractor/trailer parking areas, coaling systems and materials storage areas for signs of a discharge. • Observe drums and containers of hazardous wastes for signs of discharge, deterioration or bulging due to corrosion or other factors. Drums or containers should be tightly sealed at all times except when withdrawing or adding materials. Drums stored in a horizontal position should have drip pans beneath dispensing areas. Replace leaking or damaged drums with good drums and dispose of in a proper manner. • Observe storm water and waste water management devices or structures such as oll/water separators or storm water retention basins to ensure proper operation. • Observe transformers for signs of discharge or an integrity problem that may lead to a discharge. • Observe containment dikes, curbing, valves and blocked floor drains for discharges and structural Integrity. Ensure containment area drainage valves are in the closed position and secure. • Observe aboveground storage containers, tank supports, foundations and valves for signs of corrosion, structural fatigue, leakage, general integrity and accumulation of product inside the secondary containment areas. • Observe spill kits to ensure that sufficient inventory is in stock. 3. Take appropriate corrective action for any deficiencies noted during the inspection_ In particular. • Replace or repair any equipment for which an integrity problem is observed or suspected. • Clean up all observed discharges promptly and report discharges to management. • Restock facility and vehicle spill kits as needed. Ensure facility always has spare spill clean up materials on hand. Facility: Reidsville NC WORKSHEET B2 Inspected by: Le, Rev_: 6 INVENTORY OF SIGNIFICANT MATERIALS Date: it 12��/ Date: 06/28/11 Pae1ot 4 Rate of Flow, Maximum Advanced Best Management Location on Map Potential Pollutant Sources Material and Quantity Amount That Could Practices (Baseline BMPs not Inspection Results Discharge, Predicted inciuded) Direction 01 Flow Underground Storage Diesel Fuel Seepage through BMP 8.3.1 - Truck Tanks (2 @ 10,000 gal) ground. 10,000 gal Fuel/Heating Oil 1 Underground Storage Tank S stem Underground Storage No. 2 Heating Oil Seepage through BMP 8.3.2 — Heating Oil Tank (2,500 gal) ground 2, 500 gal UST 2 Aboveground Storage Used Oil (375 gal) West, Catch Basin BMP 8.3.5.1-- Shop 3 Tank #10, 375 gal Fabricated Tanks Truck Fuel Dock Motor Fuels (small Oil/Water Separator BMP 8.3.3 - Oily Water 1 fugitive amounts) 5 gal Control System 4k- Truck Wash Pad Motor Oils and Oil/Water Separator BMP 8.3.3 - Oily Water Motor Fuels (small 5 gal Control System 4 fugitive amounts) D 01.16 Main Air Lube Oil (300 gal) Oil/Water Separator BMP 8.3.3 - Oily Water Compressor 300 gal Control System d� 5 01.30 Nitrogen Lube Oil (300 gal) Oil/Water Separator BMP 8.3.3 - Oily Water Make -Up 300 gal Control System Ole- 6 Compressor Facility: Reidsville NC WORK5HEET B2 inspected tay:f Rev.: 6 INVENTORY OF SIGNIFICANT MATERIALS Date: /l Date: 608/11 Page 2 of 4 Rate of Flow, Maximum Advanced Best Management Location on Map Potential Pollutant Sources Material and Quantity Amount That Could Practices (Baseline BMPs not Inspection Results Discharge, Predicted included) Direction of Flow 01.46 Recycle Lube Oil (1,000 Oil/Water Separator BMP 8.3.3 - Oily Water 7 Compressor gal) 1000 gal Control System 1 CP-K I II Main Air Lube Oil (665 gal) Oil/Water Separator BMP 8.3.3 - Oily Water 21 Compressor 665 gal Control System vac ICP-K301/321 Lube Oil (565 gal) Oil/Water Separator BMP 8.3.3 - Oily Water 22 Recycle Compressor 565 gal Control System b� ICS-T361 Lube Oil (250 gal) West, Catch Basin 23 Compander #9.250 gal Oil/Water Separator Used Oil (2,500 Seepage through BMP 8.3.3 - Oily Water 8 gal) ground. 2,500 gal Control System b 01.14A Compander Lube Oil (450 gal) West, Catch Basin 9 Lube Oil Console #9.450 gal UDC 12.42 Instrument Air Lube Oil (1.5 gal) Southeast, Catch 10 Compressor Sump Basin #9. 1.5 gal Dim Facility: Reidsville NC WORKSHEET B2 Inspected by: bcw Ow NS Rev_: B INVENTORY OF SIGNIFICANT MATERIALS Date: f Date: OIU28/11 Pa e3of 4 Rate of Flow, Maadmum Advanced Best Management Location on Map Potential Pollutant Sources Material and Quanffty Amount That Could Practices (Baseline gMPs not Inspection Resuits Discharge, Predicted Included) Direction of Flow 14.10 Gear Reducers Lube Oil (3 @ Southwest, Catch l l 3gal) Basin Q. 3 gal vim Lube Oil Storage Lube Oil (2 drums South, Catch Basin BMP 8.2.12 - Drum and 12 max @ 55 gal) #11.55 gal Container Storage Areas Transformers Mineral Oil L_ �, Southwest, Catch BMP 8.2.8 - Transformers 14 gal) Basin #8. 5 gal Truck Garage Oils and East, Catch Basins BMP 8.2.5 - Vehicle 15 Lubricants, Parts #13 & #14.5 gal Maintenance and Repair Washer Truck Scale Motor Oils and To Scale Drain. 5 16 Motor Fuels (small gal fugitive amounts) Tire and Drum BUT 8.2.14 - Drum and 17 Storage Building Container Storage Area Water Treatment Sulfuric Acid (105 To Floor Drain. 5 BMP 8.2.11- Chlorine 18 Area (Room, gal max) gal Cylinders Building) Chlorine (450 lb BMP 8.3.4 - Water Treatment max) Building Facility: Reidsvllle NC WORKSHEET B2 Inspected by: I t'L! Un�LS Rev_: 6 INVENTORY OF SIGNIFICANT MATERIALS Date: / Gate. 06128/11 Page 4 of 4 Hate of Flow, Maximum Advanced Best Management Location an Map Potential Pollutant Sources Material and nuanttty Amount That Could Prackes (Baseline SMPs not Inspection Results Discharge, Predlcted Included) Direction of Flow LIN/LOX/L.AR Motor Oils and Southwest, Catch 19 Trailer Loading Motor Fuels (small Basin #12. 5 gal ok fugitive amounts) LH2 Trailer Parking Motor Oils and Catch Basin # 15.5 20 Motor Fuels (small fugitive gal OK amounts) LOX/LIN Trailer Motor Oils and North, Catch Basin 20 Parking Motor Fuels (small #14, 5 gal 6kk fugitive amounts) Urea solution 32% Urea Solution 700 gallons Oil 21 Vehicle Maintenance Water Separator 6)12/_ Shop Facility: Reidsville NC WORKSHEET CZ Rev,: s COMPREHENSIVE COMPLIANCE EVALUATION Date: 06128111 REPORT Page 1 of 3 Istructions: 1. Using a copy of Worksheet B2, conduct a Visual Site Inspection of potential pollution sources Hated in Worksheet B2. When making the inspection look for evidence of the following: • Evidence of pollutants entering the storm water drainage system • Best Management Practices are adequate and properly implemented • Storm water structural features and sediment controls are operating properly • Spill response equipment is in proper working condition. 2. Summarize the results of the Inspection on Worksheet C2. Attach Worksheet 82 to Worksheet C2 and Insert in Appendix C of this Plan for at least three (3) years from the date of the Inspection. 3. Implement any corrective actions Identified In Worksheet CZ Based on the results of the annual Inspection, necessary revisions to pollution prevention measures, controls, and the SWPP Plan shall be Initiated within two (2) weeks of such Inspection. Revisions shall be completed within 12 weeks of the Inspection. 4. The SWPP Plan shall be reviewed and the following sections updated, where necessary: • Changes to the Pollution Prevention Team member roster (Worksheet B1) • The inventory of significant materials and BMPs (Worksheet B2, Site and Drainage Map) • The history of significant spills and leaks (Worksheet B3) • For facilities subject "to special storm water requirements for SARA 313 water priority chemicals (Section 10.5), the Plan shall be reviewed and certified by a Professional Engineer every three (3) years. € Facility: Reidsville NC WORKSHEET C2 Rev.: 6 COMPREHENSIVE COMPLIANCE EVALUATION Date: 06/28/11 REPORT Page 2 of 3 1. Scope of Visual Inspection Date of Visual Inspection. ( 2S I Inspection Conducted by: 2. Major Observations As a result of this inspection, the following major observations were made (include written documentation of the visual inspections for all outlalls): Facility: Reidsville NC WORKSHEET C2 Rev.: e COMPREHENSIVE_ COMPLIANCE EVALUATION Date: OW28111 REPORT Page 3 of 3 3. Action Taken The following actions were taken as a result of the major observations. This includes making appropriate revisions to the SWPP Plan. These actions must begin within two (2) weeks of the inspection. The action plan must allow for completion of the changes within 12 weeks. N 4. Incidents of Non -Compliance After reviewing the SWPP Plan and storm water permit conditions (Section 10), all incidents of non- compliance are identified below: Certification; I certify under penalty of law that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel property gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penaides for submitting false information, Including the possibility of fine and imprisonment for knowing violations. Furthermore, when this report does not identify any incidents of non-compliance, l certify that the facility Is In compliance with the storm water Pollution prevention plan SWPP and the storm walerpemtiL A. Name (Type or Print) B. Title C. Signature D. Date Signed Pii�DUCTS � Air Products and Chemicals, Inc. 357 Marian Ave Tamaqua, PA 18252 Telephone (570) 467.4399 December 29, 2014 Division of Water Quality Attn Central Files 1617 Mail Service Center Raleigh, NC 27600-1617 RE: NCSS000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: RECEIVED JAN a 6 2015 CENTRAL FILES DWR SECTION Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. If you have any questions regaring this submission or require additional information, please feel free to contact me directly at 570-4674399. Si erely, Josep Sebia Environmental Specialist Air Products and Chemicals, Inc. Electronic Materials Organization Tamaqua PA 18252 CERTIFIED MAIL: 7010 0780 0000 8680 7239 AIR PRODUCTS Air Products and Chemicals, Inc. 357 Marian Ave Tamaqua, PA 18252 Telephone (570) 467-4399 January 13, 2014 Division of Water Quality Stormwater Division 585 Waughtown Street Winston-Salem NC 27107 RE: NCS000030 Annual DMR Summary Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: RECEIVED N.C. Dept of ENR s ° JAN Z i ZW REC-JONAL {OFFF C E Enclosed please find Stormwater Discharge Monitoring Report Annual Summary for the Air Products and Chemicals, Inc. Reidsville, NC Facility for calendar year 2013. If you have any questions regaring this submission or require additional information, please feel free to contact me directly at 570-467-4399. Sincerely, Joseph Sebia Environmental Specialist Air Products and Chemicals, Inc. Electronic Materials Organization Tamaqua PA 18252 CERTIFIED MAIL: 7013 1090 0001 8611 2552 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year z n 13 Individual NPDES Permit No. NCS©®©® 3❑ O❑ or Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑ This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: A ,(l PAre3oC+ fV Ct)C M.(, l's L (Vc (ZcZ05QN zt C- County: R oc is "VC %4et� Phone Number: (A3 �) 3 4 q - Z 9 4 L Total no. of SDOs monitored Outfall No. i Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ® No ❑ Total Rainfall, inches Parameter, units P N EM Oy F --rotm -. rV 0mc,('r-mil •T SS. . tJa-L + No3 Benchmark N/A G cl Sj 1 5 (L 30-4L Date Sample Collected, mmlddlyy oS C* o. b.zv (0,3 f110 ICI 0 V7 0,qC) Z.z 1 is 0.3 (0 '9 N P I • 4 0 tv p - 33 SW U-264-Generic-i 3Dec2012 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the passibility of finks and imprisonment for knowing violations." Signature _ Date 1 115 For questions, contact your local Regional Office: DWO Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORFSVILLE REGIONAL OFFICE 225 Green Street 610 East Center Avenue/Suite 301 2090 US Highway 70 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE LWASHINGTON REGIONAL OFFICE WILMINGTON REGIONAL OFFICE 3800 Barrett Drive 943 Washington Square Mall I 127 Cardinal Drive Extension Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM.REGIONAL.. OFFICE CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 To preserve, protect and enhanm 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 (919) 807-6300 Norih Carolina's water..." SW U-264-Generic-13Dec2012 AIR �• PRODUCTS I: Delegation of Authority to Non -Officer Positions F K.- T11.hr ,nnn Nu The undersigned, Robert D. Conley, in my capacity as Vice President — Global Eagjneerinq of Air Produ is and Chemicals, Inc., pursuant to the Delegations of Authority Policy, hereby delegates authority as described herein below to the following non -officer posilion(s): POSITION TITLE AND COMPANY MAXIMUM VALUE Each Tran5achonlContracl See attached Page 2 for list of position titles N/A DESCRIPTION OF AUTHORITY Authority to execute permit applications, permit related submissions and documents, and routine filings and documents required by local, slate, and federal regulatory agencies or authorities pertaining to environmental, health, and safety compliance for the Wilkes Barre, Gardner, Cryomachinery and Prism Membranes facilities. ❑This aulrlonty may be subdelegated with the lollowing resirlclionS (it any) OThIs authority may not be subdelegaied. to take effect when countersigned by the Corporate Secretary or any Assistant Corporate Secretary and to continue in effect for so long as the designated position title(s) remain unchanged, or until such authority shall be revised or revoked by notice thereof by the undersigned, his or her successor in office, or the person to whom the designated position(s) report. SltmnlueY � nnlr I� Countersigned by: itr' c�� ('urpo.:ltr Fe rq'i ;nt�4t (nrporaiw ",etrrtary" n;tte I—p'. Im-1•la._' M:'.r -,--A -A$ Jot AIR A PWL)UCTs * — . Delegation of Authority to Non -Officer Positions POSITION TITLE Operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmental Soecialist H, ::tin., IJ.r i_1 2007. 1+11 Jai lfnpbLal�un N MAXIMUM VALUE N/A Kt UEIVED N.C.Dept. of ENR JUL 2 7 2015 F� _. Air Products and Chemicals, Inc. 7201 Hamilton Boulevard Allentown, PA 18195.1501 Telephone (610) 481-4911 Via Certified Mail 9414 7266 9904 2954 5257 19 20 July 2015 NC DENR Division of Water Resources 450 W Hanes Mill Rd. Ste. 300 Winston-Salem, INC 27105 RE: NC5000030 Stormwater Permit Monitoring Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: Winston-Salem Regional Office Enclosed please find one original and one copy of the Stormwater Discharge Monitoring Report for the Air Products and Chemicals, Inc. Reidsville, NC Facility. Please feel free to contact me with any questions or require additional information. I can be reached at (610)481-4755 or creitzib(@airproducts.com. Sincerely, t Sincerely, B r i z Sr. Pr. En roaental Engineer c. Coray Mitchell — Air Products 1 M]tMWATER DISCHARGE OUPFALL (SDD) MONTTORING REPORT Permit Number: NCS. 900�O or SAb9qFS COLLECPEDDURING CAI EMMRYLAH: ZO/� Certificate of Coverage Number. NCG ('ibis monitoring repm t dmU be reedu d by the Divhdon no later titan 30 days from dm date the fadI ty r ecelm the sampilag results L+tmt the lab mdoiy.) FAcELMNAhM APB ofv�ct� A0e&,I1.6�, PERSON COLLECTING SAMPLE(S) 19as 4 f #111111111111' CERnFJED LABORATORY V �[,ab .. Lab p "E=Z= o ffi By that Q t b aCCWz e completkwnwle8ge. Part A: Specific Monitoringequireournts Does this facility perform Vehicle Maintenance Activities using mom then SS gallons of new motor oil per month?Ryes --no (if yes, complete Pan B) PaN S: Vehlr]e Maintennnm Aetivity MmIMAnv Rmmntrp~%Im Otttfeil No. Date Sample : Coftcted 59WO 0 ... OQ43Q 00400 Total Flow (ifappliesbte) i, ToUd Rs&" Ofl & Grime (ftappL) Num jpda r. O&(xlllM, (Me 9" SGT-FM, It SOL Total 5 I Sonde ' PH Nevr A !"V oll UStom and r MG hU*M EVA Uvft Z7 l S4 9 4 Q Z /• 4 `i• Farm 5W[A7Ab OM10 Page I of 2 i Certificate of Coverage No. NCG STORMWATER DISCHARGE OUTFA11(SDO) MONITORING aiEi?'ORT IFAciurY NAME PERSON COLLECTII1iG SANIFLE(S) � •�"' t vw+rX C3ERTI>fW LABORATORY(S)Aef ns to $ Lab # SAMI'LW COLLECTED DURING CAIMNDAR YFARt ZOlS ('1'bia moaitorbtg report steal! be rwdved by the Division no later titan 30 days from tie date the fact ity rwelv�eQeMe samp!results from the labatatory.) CO PHONE N G l z'➢�2 (SOMTURE OF PERNWI M OR DERGNM . s By this d aatare, I that this report is accurate complete to the best of nq knowledge. Part A. Vehicle Maintenance Activity Monitoring Requirements (ordy if, on average, mere than 55 galim per mouth of new motor o0 is used) Outisi! No.. Date Ssmpie CuffiwWd, moldd/yr Total R-h- inches New bintar 0fl Usage, Aamita#'ate 00556 _u 00539 09M DD and Gam; u�ll: Nuojnhtr0&&gTiq I if e TOM Saflft "V& pH, Sbutdad unbs Benehmark, 30., in 6A- 9.0 tZ 7i5 ? o_zs MD 7_6 yam. Nate: If you report a sampled value in excess of the bemburmi. valve, or outside the benchmark range far pH, you must implam ut Tier 1 ar Tier 2 responses in the Gaaeral ParndL Mail OrWinal and one ropy to: Division of Water Quality _ Attn: Central Files 1617 Mail Service Center Ral_aigb, Ngth Caroline 27699-1617 r "I certify, under penalty of law, that this document and aU attachments were prepared undermy direction or mgxrvlalon in accosdanca with a system designed to assure that guailfied personnel properly gather and evaluate the hriarmation subu tb& Based on my htquiEy of the parson or persons who manage the q3tC1016 or thane persons directly responsible for gathering the information, the Wor®fIon submitted is, to the beat of my knmdedge and belie!; trace, accurate, and. ci m fete. I am aware that thew app4gntdcaut pdnaldes for submitting !blue Information, bt&dhrg the pass[bility of Buss and imprisonment for !mowing violations." (Sigua of Permit E (Date k i Page I of I F STORM EVENT CHARACTERISTICS: 3 Date j Z if Total Predplb" (Inches): 61 aS Event flotation (hour's): I_ (a* if applicable — sec permit:) (f more than one storm event was sampied) Date Told Event Precipitation (inches): Mag Orlgtnal and one dopy to: Melon of Water Quality Ann: C.antml Flies 1617 Mag Service Raleigh, North Carolina 27699-1617 Event Duration (hours): (only if applicable — see perinit.) r "I rerdo, under penalty of law, that this document and all atbacluawts wen prepared node= q direr or sapervfsian l® aerordenee with a . system designed to sem that 4aali W pawnuel prWe * pthcr and evabno tbeWbrnmtlon eubsclied-' Based on nwmgntry of the person or Persons who manage the syst=4 or than pe:sana dire* respoaslhie tar galb the Whnwtlam, the Wm=W subm Wed 1% to the lust of my knowledge and belW, true, awe, and complete. I am aware that there are sigatHc®t peoaltles for sa>anittiag false bftrmstlon, 7 77= for knowing violations." (S' lure orper ttee)/ I (Da7-U te) Fmm SW[7-246-OMIO Pap 2 cf2 Outfall001 Inch of Rain 025 Area Sq Et Run Off Factor Ft of Rain Cubic Ft Gallons Million Gallons_, Impervious Area 127000 0.9 0.0208333 2381.25' 17811.75 0,01781-175 Gravel 425500 0.5 0.0208333 4432.2917 33153.54 0.033153542 Total 552500 Total Flow 0.050965292 Area x runoff factor x feet of rain = cubic ft of water runoff Cublc feet x 7.48 = gallons A!R 4 PRODUCT'S — Delegation of Authority to Non -Officer Positions G The undersigned. Robert O. Conley, in my capacity as Vice President - Global Ert9meerin9 of Air Prodlu(:i5 and Chemicals Inc., pursuant to the Delegations of Authority Policy, hereby delegates authority as described herein below to the follomrig non -officer position(s): POSITION TITLE ANO COMPANY MALximUM VALUE Eacn Transaction/Caniracl r.tilchdPage2 for list of position titles NIA DESCRIPTION OF AUTHORITY Authority to execute permit applications, permit related submissions and documents. and routine flings and documents required by local, state, and federal regulatory agencies or authorities pertaining to environmental, health, and safety compliance for the Wilkes Barre, Gardner, Cryomachinery and Prism Membranes faafihes ❑Tn,s aulhorvy may be SUMetegaled wtlh the fpllow,rg restndwns (d any) 0This tulhonfy may nol be subdelegaled. to lake effect when counlersigned by the Corporate Secretary or any Assistant Corporate Secretary and 10 continue in effect for so tong as the designated position tflle(s) remain unchanged, or until such authority shall be revisers or revoked by notice thereof by the undersigned, his or her successor In office, or the person to whom the designated position(s) report. 1 $r�flnlurc nh lr Countersigned by' l �nryu�.iv S.• lrnid•.r+l�6t[nrpar:r fr tirrrrl.rr r R,rl.• AM /. ►NPODUCTS L= Delegation of Authority to Non -Officer Positions 7 POSITION TITLE { MAXIMUPA VALUE I! !Each TfensacljorvConlraCI Operations Manager Line Manager Site Manager Assistant Site Manager Site Supervisor Plant Manager Assistant Plant Manager Plant Superintendent Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Senior Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmental Soectalist Inca: tpn_�.}.n �_brtr �. n.ireen�rr��li J..� WA ceAn*fcal i e�rw°°m i i July 13, 2015 Mr. Levi Owens Air Products 225 Equity Road Reidsville, NC 27320 Pace Analytical Servlcas, I= 205 East Meadow Read - SuMsA Edert, NC 27203 (33Bj8234M RE: Project: WW TESTING Pace Project No.: 92256414 Dear Mr. Owens: Enclosed are the analytical results for sample(s) received by the laboratory on June 29, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless. otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, `&dta►j- of.. Cj Brittany Gibson for Terri Page terd.page@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This repon shall oct be reproduced, except in full. without the written consent of Pace Analytical Services, Inc., Page i of 11 q Pecs Anetyticai SoMooe, Ina CZt�ril`II�i[,a1 S 205 East Meadow Road - SuftA Eden, NC27288 w (938}BZ9 8821 i ' CER11FICATIONS Project WW TESTING Pace Project No.: 9=56414 Charlotte Certification 1Da 9800 10nceyAve. Ste 100, Huntersvflle, NC 28078 FloridalNEt_AP Certification E87527 North Carolina Drtnldng Water Certification M. 37706 Kentucky UST Certification 0: 84 Ngrth Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater CeAftallon M 12 VirgirdaAtELAP Certification * 46M1 South Carolina Certification #: 99DO8001 Asheville Certification IDS 2225 Riverside Drive, Asheville, NC 29804 North Carolina Wastewater Certification #: 40 RorldafNELAP Certification # E87848 South Carolina Certification #: 99030001 Massachusetts Certification # M-NCO30 West VlrgiNa Certification #: 356 North Carolina Drinking Water Certification #: 37712 VirglnialVELAP Certification #: 460M Eden Certification IDS 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification A: 633 North Carolina Drinking Water Certification #r: 37738 Vlrginia/VELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent o1 Pace Analytical Services, Inc-. Page 2 of 11 l� cel4ira"cai e . � wnrpaadatramm ANALYTICAL RESULTS Pace Analytical 8enrlcea, lna. 205 East Meadow Road - auha A EdaN NC 27285 (33E)8234W Project VWVTESTING Pace Project No.: 92258414 Sampler OUTFALL 1 Lab iD: 92256414001 Collected: 08/27/15 20:30 Received: 08129/1514:10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. QUO] 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 71.6 mg1L 4.5 1 00/30115 09:22 REM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5,0 1 07/10/15 10:46 Total Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen 1.4 m9/L 0.12 1 07/W/15 17.19 351,2 Total Kjeldahi Nitrogen Analytical Method: EPA 351.2 Nitrogen, Noldahi, Total 0.80 mg/L 0.50 1 07/09/15 03:54 7727-37-9 363.2 Nitrogen, NO21NO3 pros. Analytical Method: EPA 353.2 Nitrogen, NO2 plus NO3 0.80 mg/L 0.020 1 07/05/15 14:19 REPORT OF LABORATORY ANALYSIS This (enact shall net be reproduced, except in full, Date: 07/1312015 08:36 AM wlthotd the written consent or Pace ArtalyuCal Services, Inc., Page 3 of 11 i. 1+ �,,,,J ,,,�( PaceAnal"cai t3enrlaee, Intl. Ir�I"UlCfl f�Q1 a 205 East Meadow Roed-StftA Eden. NC 2728a 1 .. (336)823-8921 ' QUALITY CONTROL DATA Pmject: VVW TESTING Pace Project No.: 92256414 QC Batch EDEN119082 Analysis Method: SM 2540D QC Batch Method: SM 25400 Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92256414001 METHOD BLANK: 1497870 Matrbc: Water Associated Lab Samples: 92258414001 Blank Reporting Parameter Units Result Unit Analyzed Qual iers Total Suspended Solids mg1L NO 2.5 011W15 09:15 LABORATORY CONTROL SAMPLE: 1497871 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits 4ualiflem Total Suspended Solids mg/L 250 256 102 90-110 Results presented cn this page are In the untts Indicated by the "Units' column except where an anernate unit Is presented to the right of the resuh. REPORT OF LABORATORY ANALYSIS This report shall not bo reproduced, except in full, Date: 07/13/2015 08:36 AM without the written consent of Pace Analylical Services, Inc_ Page 4 of 11 Pace Anatytica! Services, Inm 205 Ent Meadow Rood -Sub A J r'P`I`V Edo». NC s72atl nrw.pansisDatnrtl ��gy�.t QUALITY CONTROL DATA Project WWTESTING Pate Project No.: 92255414 QC Batch: GCSV/21905 Analysis Method: EPA 1664B QC Batch Method: EPA 1684B Analysis Descrlptlon: 1664 HEM, Oil and Grease Assocated Lab Samples: 92256414001 METHOD BLANK- 1506287 Matrix: Water Associated Lab Samples: 922584140()l Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease M91L ND 5.0 07/10/15 10:37 LABORATORY CONTROL SAMPLE: 1506288 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mgrL 40 33.9 85 76.114 MATRIX SPIKE SAMPLE: 1506289 92257786002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 35.8 90 78-114 Resutts presented on this page am In the units Indicated by the "Units" column except whom an alternate unit is presented to the right of the result: REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full; Date: 07113r2015 08:36 AM without the written consent of Face Anstrikal Services. !nc . Page 5 of 11 3 Pace Anatyttcal SerAM% Ina. j w Road - &ft A ' CreMa"bar p 205 East MeadoEden. NC T/Zee . t�wtrynoetf6acam (gge)e29.gg11 f- .i - QUALITY CONTROL DATA Project YWYTESTING Pace Project No.: 92256414 QC Bald: WETA/23612 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92255414001 METHOD BLANK: 1502746 Matrbt: Water Associated Lab Samples: 92256414001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, Kjeldahl, Total mg/L ND 0.50 07/09/15 03:32 LABORATORY CONTROL SAMPLE: 1502747 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Nitrogen, Kjeldahl, Total MOIL 10 9.9 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1502748 1502749 MS MSD 92257133002 Spike Spike MS MSD MS • MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD ' Qual Nitrogen, Kjeldahl, Total mg1L 22.7 10 10 • 35.2 35.7 125 130 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1502750 1502751 MS MSD 92256864005 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec "A Rec Limits RPD Qual Nitrogen, KJeldahs, Total. mglL 8810 500 500 630 608 109 104 90.110 4 Resuhs presented on this page are In the units Indicated by the "Units" carurnn except where an alternate unit is prosentad to the right or the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full, Date: 0711312015 08136 AM without the written consent of Pace Analytical Services, Inc,. Page 6 of 11 aCeAna"cal Project VWVTESTING Pace Project No.: 92256414 QUALITY CONTROL DATA QC Batch: VVETA123602 Analysis Method: EPA 353.2 QC Batch Method: EPA 353.2 Analysis Description: 353.2 Nitrate t Nitrite, preserved Associated Lab Samples: 92256414001 Pace Analytical Servitee, tnc., 205 East Meadow Road - Suft A Edgit, NC 2T288 {S9B)e�s-89�1 METHOD 13LANK 1501941 Matrix: Water Associated Lab Samples: 92256414001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Nitrogen, NO2 plus NO3 mg1L ND 0.020 07/06/15 14:14 LABORATORY CONTROL SAMPLE: 1501942 Spike LCS LCS % Rec Parameter units Cone. Result % Rec Limits Qualifiers Nitrogen, NO2 plus NO3 mg/L 2.5 2,4 96 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE, 1501943 1501944 MS MSD 92256346003 Spike Spike MS MSD • MS MSD % Rec Parameter Units Result Cone— , Cone. Result Result % Rec % Rec Limits, RPD Qua] Nitrogen, NO2 plus NO3 mg1L 7.4 2.5 2.5 9.9 9.6 100 90 75-125 3 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1501945 1501946 MS MSD 92258635001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, NO2 plus NO3 mg1L 39.2 2.5 2.5 41.4 41.6 B5 96 75-125 1 Results presented on this page are In the units indicated by the "Units" colurnn except whin an altercate unit Is Presented to the right of the resub. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, eKCetlt in full, Date: 0711312015 08:36 AM without the written consent of Pace Analytical Services Inc.. Page 7 of 11 -ffl-0007 ceAnalyf cal ( QUALIFIERS Project WVVTESTING Pace Project No.: 92258414 DEFINITIONS Pace Analytical SerAces, Inc. 205 Fast Meadow Reed - 8t4te A Eden, NC 27288 (338)025-t18x1 DF - Dilution Factor, If reported, represents the factor applied to the reported data due to dpuMon of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting Unit. MDL-Adjusted Method Detection Limit. PQL- Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenyihydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each anayte is a combined concentration. Consistent with EPA guidelines, tnrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Dtfference NC - Not Calculable. SG - Spica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyt ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitrosadlphenyiamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited anaytes. TNI - The NELAC Institute. ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. Date- 07/13/2015 0816 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc,. Page 8 of 11 Pane Analytical SerAC626 ton. "- �+� 11lQl isL[I• 205 East Megdow Road -SufeA NV/ Eden. NC 272M WWWPm lthamm (3at;l s-sszl QUALITY. CONTROL DATA CROSS REFERENCE TABLE Project: WWTESTENG Papa Project No.: M56414 Analytical . Lab ID Sample ID QC Batch Method QC Balch Analytical Method Batch 92256414001 OUTFALL 1 SM 2540D EDENl19082 r 92256414001 OUTFALL 1 EPA i664B GCSVM905 92256414001 OUTFALL 1 TKN+NO3+NO2 WETIW731 Calculation 92258414001 OUTFALL 1 EPA 351.2 WETAr23612 92256414001 OUTFALL 1 EPA 353.2 WETAl23602 REPORT OF LABORATORY ANALYSES This report shall not he reproduced, except in full, Dow 07/ 13/2015 08:36 AM without the written consent of Pace Analytical Services, inc.. Page 9 of 11 r tare/Jy..!�w...�✓.••--".-"----v--ems f ....a,y.. .�.....-..�.vP r.��-.r-r -...- �: ... .... ... ._ _...-�.�--'v.. ....-...-... ...Y....�_�.�..,, RwW Y K6a-1 � CV-�/Y �C�tl11®®, �V�� �aW DMMm{,Yif.F q} E The Chelna� fa a LF.Of1L DOCUMENT. AD televr;td flefde reuM Em wmpfah;d g: PVIW off 8odfm A` Saco m a lima C. ' mu I.Y pralmaIn+�hDo ffdEnrmflas �j7 ! RaPortTa� •I°fir "`r� U � mAY to: ! REGULATORY AGENCY a % O DE8 GROUND A RIN G W NP r WATER ION WATER dry. RCRA OTHER Pumhm f Ode f.. .. r Y' OWN n t Fe1C Prt0 Flelrld � FlCI pl�fi sft.. I Awn 6 aue sTato►rar. Wgnber. ' Pepe AoBs� STATE. ReQ&sied Arm+"- Fiftred jTIN) ` a ear,D Mldftcocso - L97flt hdEmY�n - M&Mx 1 com e' ACTED Y - . -EYW _ wr � m e axrpmm eow�a SL ��p�®� armor •• '` x � 8am4ls IQa AdUSr BE UI+fIptfE Ty+e To . a cowOT VVV ' t � Xyy�� 13 O R DATE Im . :: GATE TM � a T. 2 � Pow Proled MaJ Lob LD... k 3,. a.. P 8, lie _ 12 ] s ` =AOOt MMALGENTS ! 611ArTiIIASic]N.' DATE TMACCEPTED911AFfruarecDf dATE TILE 8AR1PREcapDmoNe k r i ' • e Y . - - Sr4MP[.E'R MAtlfc A11D SiGMATIl}W' DATE ftmW jMMT{titP at &MWLf k J , ayeer6idetae0M0irsd14%PW=MMrapBaas.edPM-MM30eas FEW-O-Mmv.07tI"w2007 CHAIN "4F-CUSTODY I A alytical Request Document The Ch &&rant* la a LEGAL DC+CUMOU. M mkvaM Qdde rr1W 4e cmrIlelsd axon Wy, /=��aTOFZY AGENCY LIND WATER UST RCRA OTHER SAMPLE A Air AR .. MUST BE UNIQUE 71haud Ta i 011wr Orrmilli fflAZM OEM MM a / . •hnporemRNala8yjdynfnyIhl■1h�myoumaI�eA YPace!NET80derpWmmftWftImW 9tirlab:ohmpeiu[1�ILprrm fhAre mmlpelda�dn3odrys FALL-&020rm.07.15-May-2007 Reidsville NC Stormwater Sampling Checklist completed by: Item description iq= 1. Sample during representative* storm event at Outfall #1 S`FR 2015- 1>0.1" raintall, sampled within 30 minutes of start of event, and no other raintall event >0.1" in previous 72 hours 2. Spring sample between April 1�'t-June 30t or Fall sample between July V and December 31st 3. At least 60 days has passed since last sample taken 4. Sample refrigerated until lab pick-up 5. Calculate rain flow and print spreadsheet it 6. Fill out SDO qualitative monitoring report for BOTH outfall 1 & 2. 1 ' Report any deviations to Site Manager o NC State form SWU-242-XXXXXX 7. Fill out form 132 and C2, site inspection and summary j S. Fill out SDO monitoring report m NC State form SWU-246-XXXXXX page 1 9. Fill out Storm event characteristics form o NC State form SWU-246-XXXXXX page 2 G,P 10. After analysis is complete, check results against following benchmark values. Report any deviations to the site manager Total Nitrogen: pH: Oil and Grease: Total Suspended Solids: Benchmark Result 30 mg/L 1. mg/L 6-9 su 7 /s su 15 mg/L Np mg/L 100 mg/L 7/. G mg/L 11. Compile all documents listed above, together with analysis results, scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12. Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville snare site CALIBRATION AND SAMPLE ANALYSIS PROCEDURE EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 pH analysis must be performed within 30 minutes of sample collection. 1. Turn on pH meter 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe + 4. Rinse pH probe with deionized water and blot dry with a clean, soft cloth or tissue. 5. Place both the temperature probe and the pH probe in 7.01 pH buffer solution. 6. Shake the pH probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7. Record temperature and pH reading. 8. Press and hold the CAL button until "CAL" flashes on the screen. 9. Calibration will take approximately 30 seconds. When complete, record final pH reading. 10. Remove probes from 7.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 11. Repeat steps 5 through 9 using the 4.01 pH buffer solution 12. Remove probes from 4.01 buffer solution and rinse with deionized water and blot dry with a clean; soft cloth or tissue. 13. Repeat steps 5 through 9 using the 10.01 pH buffer solution 14. Remove probes from 10.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or tissue. 15. Insert both probes in the storm water sample, and stir the sample gently to ensure homogeneity and minimize carbon dioxide entrainment. 16. Wait one minute for reading to stabilize. 17. Record temperature and pH reading. 18. Remove probes and rinse pH probe in deionized water. Blot dry with a clean, soft cloth or tissue. 19. Dampen the inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace cap on probe. CALIBRATION AND SAMPLE RESULTS EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 pH 7.01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Date Temp Initial Final Temp Initial Final Temp Initial Final Temp pH z7 I5 7ic, 7-IV �4A 76.E V.a1 y.�+ 7'�j IQQZ )l� vp V.Q u Air Products Internal Use Only Stolrmwatelr Discharge OutffaH (SDO) Ouafitative Monitoring Report For guidance on filling out thisform, please visit: hU://h2o.enr-slate.nc,us/swForms Documents.htm#miscForrns Permit No.: NIGA1410 / 0 / 017l 0 / or Certificate of Coverage No.: NIC_JGf Facility Name•. tr v(j C 1- County: __ o-mar&M _ Phone No. T334S JYf 4 Inspector: Date of Inspection: Z7 / Time of Inspection: 6 Total Event Precipitation (inches): 7 Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary), k A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that, is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event -may contain up to 10 consecutive hours of no precipitation. By this signature, I certifj tog this report is accurate and complete to the best of my knowledge: (Signature of PeWO6 or Designee) I: Outfail Description: Outfall No. � I Structure (pi e, ditch, etc.). Receiving Stream: Describe the industrial activities that occur within the outfall drainages area: 411 f 4,-Zc1 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:�j>!i? 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): IJ I d- ol- _ Page I of 2 swu-2,12•1120ox 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: l (2J 3 4 5 5. Floating SoIids.-. Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 V 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 20 33 4 5 7. Is there any foam in the stormwater discharge? Yes X0) S. Is there an oil sheen in the stormwater discharge? Yes /No/ 9. Is there evidence of erosion or deposition at the outfali? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe NGN Note: Low clarity, high solids, and/or the presence of foam, oil sheen; or erosion/deposition may be indicative of ,pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5 W U-242- t 12608 5t®rmwater Discharge Outfa.11 (SJ)0) Qualitative Monitoring Report For guidance on filling out this form. please visit: httpl/h2o.enr tate.nc—us/su/Eorms Documents.htm#miscforrn,,% Permit No.: N/C/ 6A / Q / 0 / 417 / 0 / or Certificate of Coverage No.: JC/C�l I I 1 I I 1 Facility Name: If I u PC County: G NMOA40 -_ Phone No. 36 Alf Z%2 Inspector: j iGuS Date of Inspection: Z7 Time of Inspection: Total Event Precipitation (inches): •- Z5' Was this a Representative Storm Event? (See information below) A Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A ."Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation_ By this signature, I certify, that this report is accurate and complete-tetithe *t of my knowledge: (Signature ofJ t4.ttee or Designee) // f 1. OutfaB Description:— {/ O Outfall No. Z Structure (pipe, ditch, etc.) Receiving Stream: C ru Describe the industrial activities that occur within the outfall drainage area: t 2. Color: Describe the color of th (light, ntedium, dark) as descriptors: ! using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any disti'}�t odors that the discharge may have 0,e., smells strongly of oil, weak chlorine odor, etc.): Ad 's Page 1 of 2 Swt 1-242• 1 12608 i 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: ] 2 3 4 S 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: 10 3 4 5 d. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes /Nd 10. Other Obvious Indicators of Stormwater Pollution: List and describe 2 o.._ _ .... _.._.._.__ Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SW11-242-112N $ 1; Vol W 1 it A, WAS Wn W•A, -,,MARAM DISCHAIM OMAU, OW) MOMtRINGRIdPORT Permit Numban NKCIS—_16100DOM 3390) or S"fl4m COLLEMED DUIUM NCG416LJ29DWOR IYOZAAAM' Cerffwsde of Coverage Number: _. readwaf by theD,111,1314i i;ww ltills� 3#dW . _. _. -.,. ') ftw FACHITY MAX& -COUNTY PERSON 0OLLEMM S&AUMMILAW PEUM NO.','UM,'I: (S) I* za f MMMED UMMWORWY lab# BY cwWy that this h sjcDjsb,., ISYKEDISEWS I ? �!Sv Rb Pwft A: Specifle Monitoring I Ou" Na D#.., Sample ' n&xv� W :77777771�77777 TOM • Rdlil� - M. for Y, ma4dlyr Iwo W; 0 but% A" M: �W f —7 F V---- —73-0, 77:777777777 '7777-777777,., J to% AS Why PAMM Wide hkAwMwx* Acdvida um =b?2(yrj. —w g mom dw� �5 gdkma of =w mowr cU per (it yM complme Pan B) Pats R- Vehicle MaIntamnro. Ardvity ManknAncr RpnnirpmwpaR � No. laW JIMLWW,i.f, Gnm 3-1 Nangelw T C&&Cftd of IM t, TBEb& v 1 won - f 5*6 lis a Al 7 7 Form SWU.246-MJq,,, Pan I of 2 ra) 4 Gi t. , y Y i - ��-per' Q�+A�1A� ■ r�+�p y� � ►*'*. lL�(�i >- MVA1�81�1fJ�LLf�JJ� OUTFA .L 00j" . . 'MOPfiTE)Sii1TG �RF,POST 7ols i Certificate of Coverage No. NCG MMMM COLLECTED DUMG GI�AR YEARS (TIdB ;egart Qht+11 be reed b,- lljlt sin iQO later'. &n 30 � ' ' f� the -date the a+aoeivee tine tn�liog resplts #iro�m the labttrator!') r . FAC1LiT'Y NAME ppCl COUN' , C►tKiivfrffifa+ Z. , P'RRSON couwnNG SAMPLUS} '" o" 'wy 4 PBOItIN 336 CERTII M LABORATORY(5) [ ns u 6 � � TUBE O1O PBR tax DBSIGNE� ,k By ft dimsbiv� I tit titrepagt � aaaarste to the best of p� ftaavrkdge.; h Pact A: Vehicle Maintenance Acti ty Monftorlpg �,lo�]' it, am average, ietnra than 55 galiaae per munW of stew nmtor a le peed) OutFatf � •Date �,.. a <i 1Vo.`' �p>e� Tataf Baia �w' ;�4,1}. New.1� 0aAd{ei r Nomdar0 Q J Ticesf Suds,'' Jay • - I���7svim'" 't w r - r ,[- a r °g1 .@- �p� ��"-A� �s�y; •,.* Q,,.a.� x 3F: �A_a •,7 N/`FI�►"�¢:e•.�. T*"� u' ''?'. -7�-.� �k ^S�_ iaf; �... =� ;� •k �Ya'tit..:+.k^vi�%s�rk i. s^± '� �?{ Y . i*>+..;a:4�`':i.`; 7i ,.s.ira..r.�'+cS` sa•:�,..:Sw% rrJ;...»a�. Benchmarfc 'ti y. ./ 1: �tr - i t - -+% -' i . �.t:t. d ` Yi ' -'.,:k '_ F C -- ' k , a S ''4ia � ' #,. ^. F ��Y/� .f^vi'^`I'r i� �K: _ _ 7 a-W :: .Jii ir'S .i Nate: If you report a sampled value in c�oess of the boachmerlc valve, or otdside ttto beachnaedc for A you must impl=ma Tier 1 or Tarr 2 n: tha Gaacral i'anmt. -Mall Or4AIM and =4 con tm, Division of -Wales Quality;: ..Am- Central Fiics 1617 Mail Sm-Ace Cm = - R4WA Nmth Carolina 27699-1617 � "h certify, paler Penalty of lair, that this dacuumo and all attadummts was prelmrsd wtdex, tl+ won or ! fa acesmance wltl a systrm designed to assure that qwdiftd personnel pro1erly pflm aad'evafoate the _ Based'o� may hgp*y of tide pe�t�sol er i who mattuV wr _ those persons direetfy reVonslble fur gathering ft.#nQormstfon; the ledbrmatie� snhm�ed �, to We bt t id�q imativledge and hnl� trtte;'iic�iistc, turd comp2ate. ` I am aware that there for ilea iuforniatioa, itdl�;the PO'adflnes and hnprinmant thr imowing viaaetionti.� (Signs of Permit r ,- STORM EVENT CHARACTERISTICS: Mall OCighuNd and am copy to: ` F Dish dwarer �r nate,T rf , >ntm: conriat�es > ., . Total Predpliation (inches): O 1 S 1617 Mail SW&D �C�eutar Event Dmdon (hours): __ I (only. if applicable — see permit) , . Raleigh; Nortb Carolina 27699.1617 . . (if mare than noe storm event was sampled) Date Total Event Precipitation (hu*q): Event Duradon (hours): (only if applicable— see permit.) E 2 " 1 certify, under penalty at law, that thls doeament and all attechwere prepared under aw di gdion ar soper9ldma In aecorde— wlth a system deslgaed to aswre titiat gaali8ed 1>moaual gt+► aria evoioete m�" ' used on uq.,iagalry at tie person w.. " or permos who made the gab^ or theme !br the the lulimrnEetfpu sabaaalmied ie,` tD tha lust t of ay knowledge and >idld, tree: anonate, that ase far i!elei W cengplete. , slg�tEirnnt Aenatbior S' . aetiau+' the pnssEWlity and for 1pmawhtg vieaotiuns." ' • � ao CIS~. ( at P (Date) IJ ��. .s F 3 +, .p 5--. �. : y a..'_t _ _✓ h ° �t-. s, ri S� �,�..>, f ��55 a"^�i r 4utw b61` v m y r". ribhY8 of - Rain c k � 1 Gallona� AflllEfa�`Oailons�rA ,. A ,4, ; - . AIR A PRODUCTS — Delegation of Authority to Non -Officer Positions The undersigned. Robert 0. Conley. in my capacity as Vice President - QfgbalEngineering of Air Prnduci5 and Chemicals. Inc.. pursuant to the Delegations of Authority Policy, hereby delegates aulhonly as described herein below to the followeng non -officer poaition(s). POSITION TITLE AND COMPANY MAXIMUM VALUE Each Tmnsac1ianlG0ntr0C1 See attached Page 2 for list of position tilles NIA DESCRtPTION OF AUTHORITY Authority to execute permit applications, permit related submissions and documents. and routine filings and documents required by local. state• and federal regulatory agencies or authorities pertaining to environmental. health. and safely compliance for the Wilkes Barre. Gardner, Cryomachinery and Prism Membranes facilities ❑This authwiiy may be subdalegaled wish the lo"owing reslrmiWna tit any) ©This authority may not be subdelegiiiiiedr to take effect when countersigned by the Corporate Secretary or any Assistanl Corporate secretary and to continue in effect for so fong as the designated position tille(s) remain unchanged, or until such authority shall be revised or revoked by notice thereof by the undersigned, his or her successor in office. or the person to whom the designate position(s) report. ''siinrure D. —� Countersigned by: hate ryui!sr �.- i in�.j•a�IJbt r`{rpara le Srtrr l.u.r In..t ilm-i •R. .-' _M:'.n.ir ir��n.wi.iti •Lit AIR 4 PRODUCTS L: Delegation of Authority to Non -Officer Positions POSITION TITLE Operations Manager Line Manager Site Manager ASSlslanl Site Manager Site Supervisor Plant Manager AsSiSlanl Plant Manager Plant Superintendenl Construction Manager Environmental Manager Environmental Engineer Senior Environmental Engineer Principal Environmental Engineer Sensor Principal Environmental Engineer Lead Environmental Engineer Environmental Specialist Senior Environmental Specialist Principal Environmental Specialist Senior Principal Environmental Specialist Lead Environmental Soeclalist P.y• M1rIr1 .�..... l+r MAXIMUM VALUE NIA - Paral Analytleal aervilcm Ina: �, I1�)1lfj��1 • ZQS East Mew Road - Suite A Ce/'V Iw.J N(,Lil Edon, Ne 71na i f ,itrst!'A!ao�°°`A; 4 i?38i�-BeTt'" J u1 :13 ,2015 y , aw; Mr. Levi O'"ens " S i Air Products ; 226 Equity Road° �. Reidsville, NC 27320 `i RE: Project; WWTESTING Pace Project No.: 92256414 Dear Mr. Owens: - }: Enclosed are the analytical results for sample(s) received by the laboratory on June 29, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNl"standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report.. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted.. If you have any'questions concerning this report,' please feel free to contact me. { rd Sincerely, . Brittany Gibson for Terri Page ter6.page@pacelabs.com Project Manager Endosures REPORT OF LABORATORY ANALYSIS This report shall not be reptadueed, except in full. without the written consent of Pace Analytical Sei vices, Inc.. Page 1 of 11 Pace AnaEytlwi Sarvi4w, jap , 205 East Meadow q Sutte A f Lr I�IIIa Elan Nt+'27Y8B`r" CERTIFICATIONS Protect i } WWTESTING ;F`aP'z aF . PaCB Project z {"eta `=' ! :•" < <:y's � £ � t < � � .. � `.�y �; Charlotte.CerliN[.attonlQar ,.. � w _n " ry � .;;, � ,� yt`• 8800 fOrtcay Ave. Ste,100. Hullteravple NC 28078 < FlorldalNE! AP CartMctation E87t327 s, ,. North Carollna DrfnkUlg:Wataf,CertMcation 0- 37706 Kentucky UST.Certiicatfon 84 Ngrth Caraitna Field ricets Sen.Certiffcalion 5342 ' letit ": WVirginia Cecatian 357 Nortt CarolinaWaatewatsi.Certlficationti:12 VlrglrtiaNNfl ELAPCertiflmdon# 460221 South Caroma C&Mk2tion A 99006001— AshtivlllaCeltteltaslon IDa% 2225 Riverside D6 . psherrEite. NC 28804 North Carotins Wislawater CerMcaton 0 40. . 2. FlorldalNELAP, Certification * E87648 ;.South Carolina Ceritflcatlon *',99030001; Massachusetts Cer"catlon C M-NC030 . • West Vlrgirfla CertHimlloil#1 3.% .. - } North Garonne Drtdking Water Certt16tlon * 37712 .:.. ; VlrgirialVELAP Certification V 4W= ' Edon Certllicatl n IQs - . • 205 East Meedow Road Suite A, Eden, NC 27288 North Carollna Wastewater Ceritttcation 0- 833 - North Carolina Drinking Water CeMl6atlon M. 37738 Vhgin%NELAP Certification A 460025 •' .. REPORT OF LABORATORY ANALYSIS Thi% report shall not be reproduced, except in full• without the written consent of Pace Analytical Services. Inc . Page 2 of 11 pace Attalyllcal t3eitrlcttis, Inert: ' } aceArialytica! M EastM60dow >_� A. Eden, NC 27280' yrvtrpaeageecam. (396eZ4e92! ANALYTICAL RESULTS ' . :IT otet� �_; WWTESTINGJT . rr Pace, Project No .922R%14- Samplin fOt1TFALL 1 Lab ID: 922MW14001 Collected. 0&27115 20-30 Ra mlved: 0=911514:10 Matrtc Water .,Parnmetma, Residtat> Units RepOA Lim!!''>; DF ,. Ptepgred: „ Aiialyxed - CAS 'No gtml ^ 21540D Total Suspended Soileta Ans"cai Method: SM 2540D Total Suspended Solids 71.6 r g& 4.5.- 1 08W15 09:22 HER; Oil and Grease: Analytical Method: EPA 18848 011.and Grease ND mglL 5,0 1 07110V15.10:4t3 r., Tots) Nitrogen Calculation Analytical Method: TKN+NO3+NO2 Calculation Total Nitrogen:.-, 1.4 mg1L 0.12 1 071{19l15 17:19 r 351.2 Total Igaldahi Nhrogon Analytical Method: EPA 351.2 REPORT OF LABORATORY ANALYSIS This repart shell not be reproduced, except in NJ, Dale: 07113/2015 08:38 AM without the wntten consent of Pace Analytical Services, Inc.. page 3 of 11 l Petra Anellq cal SeArtCea; Inc.' ztis EaaehAeadaw Road-st,ttea-� Eden: NC Tr1B8'`" W. QUALITY CONTROL DATA f '.^ WW-TASTING . ° r �`; � � �'� d '� Pecs Project No 92258414 � ,� � • . r t_ qC Batch EDENM9082 Analysis Method SM. 254013�. QC Balch Method: : SM 2540D Antllysts DescriP an ` '-2640D 7btal Suspended Solid9r ,a Asaootated Lab Samples M58414001 " v.' METHOD BUWK 1497870 Matrix Water Associated Lab Samples:' 92258474001r. Blank Reporting- Parameter . units Raw& . Lima., - -- Analyzed Qualftra hotel Suspended Salida' mg/L ND" " 2.5 06W15 09:15 LABORATORY CONTROL SAMPLE: 1497871 . Spike LCS . LCS % Rea. Parameter. Units Cotyc "' :. Result ` . 96.Reo Limits . 4ualiffers Total Susperided Solids-, mglL 250 25ti,. in9011D` Results presgHed on this page art to the untts Indlcated by the "Units" Column except where an ahernsta unit la prasanted to the right of the resrrh. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in cult. Date: 07/ 1312015 08:36 AM without the written consent of pace analytical Services, Inc.. Page 4 of 11 Pace Analytical9arlir a 1ttc. /+� js GeAW 205 Esal Meadow Road • 8u1t A ` �.. - Eder; NC 27288 wr"cpea ed°m C338]MZ$4 s12'l. . QUALITY CONTROL DATA Pn4ectWUVTESTiNG. s PewP No: 92256414 is4y: ., °•., ' - .. QC 8atd1. - GCW21905F AnaNsls Method: EPA 1684E h QC Batrtl Method:, EPA 168413 - : Analysis Destzipblxt: 1684 HEM, Oil and Grease Aiiaodated Lad Samples:. 92258414001 ` - MEtHdD BLANK.- ` 1508i67 Matu: Water Associated Lab Samples: 922SU14001 Blank Reporting Parameter, Units, Result Limit Analyzed Qualifiers Oil and Grease mglL ND 5.0 07110/1510:37 LABORATORY CONTROL SAMPLE: 1506288 Spike LCS LCS % Rec Parameter units Corwc Resul % Rec Limits Qualifiers OII and Grease mg& 40 33.9. 85 78-114 MATRIX SPIKE SAMPLE: 150e289 92257768002 Spike MS MS % Rec Parameter Units Result .' Conc Resuil % Rec Limits Qualifiers_ Oil and Grease' lilglL ND 40 35.8 90 78-114 ` Results presented an this page are In the units Indicated by the "units' column except when an 41ternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. et'wpt in full, Dais: 07/13/2015 0& 38 AM without the written consent o1 Pace Analyt l Services. Inc . Page 5 of 11 Y�� J Aata Aihah/11da1,t3�irlcme lnc. e n 1v /+ MOO 205East MeadowRogd-SLIJWA- t3C�!'UI✓ Lam!" Eiert; NC 27M A�e -Yalfrl - f, - : 5.y ,`� _ .. � _ mac' - s"- L { ., �•yi � t. by QUALITY CONTROL DATA ! � Y ` 3 _. t yy l,.Al .: per} /�, k Projact I Y 4s -" 1, WtES IN1] ` f Y t r ti N' 1 5Y. # Peas.Project No.:.,92ZSl3414 r z.. yy _ i sQC t3att�i WE7A/238i 2 ' ° Anatys[s Mettlod w EPA 351.2 Y + 4 ' QC Batik Method: �- £EPA351 2 'Analysts f]iaftdon 351 2TKN : � - 3.-'- Asibaited Lab Sampled 1 32258414001 r ? x N r _3 METHOD BLANK 1502T48 Matrix Water u Z' r AaaoGated Lati�Samplea: 9225t341400t Blank Reporting Parameter Units Result. Llirdt Analyzed Qualifiers. e Total mg/!, ` .32Ni>rpg:n,t]edat, - 21 Y - " LABORATORY CONTROL SAMPLE: 1502747. _ Spike LCS - LC3 % Rec . Parameter . Units . Conc. Result' % Rec Limps Qualifiers Nitrogen, Kjeklahl, Total . ' mg/L: 10 - 3.9 99'. *110 . . MATRtX SPIKE 8 MATRIX SPIKE DUPLICATE: 1502748 1501749 . MS M5O 92257133002 Spike.- Splka MS MSD- MS MSD % Rec Parameter ' Units •- Result Conc.- Cons " . Result-- Result- '% Rec % Rec Limits RPD • Quaff . : Nltrcgen,K]eldatil.Total rng1L 22.7 10- 10• 35.2 35.7. 125 130 90110 1 Mi..:r• '`: , MATRIX SPIKE & MATRIX SPIKE DUPLICATE: i502750 1502751 MS- MSD . = 92256864005 Spike,. Spike MS MSD MS MSD % Rec Parameter Units Result Cant: Conc- Result Result % Rec 95 Rec - Limits RPD Qual Nitrogen, Kjeldahl, Total mg/L 86.0 - 500 600 630 608 109 104 90-110 4 Rewtts presented on this gage are In the units Indicated by me -lJrdW column aacapl where an altirmats unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full. C7ate: 07/13/2015 08:36 AM without the written consent of Pace Analytical Services, Inc . Page 6 of 11 Pace Analytical it lwaOa. In*.,_ aceAWW 205 East Meeclow Road - Suite A Edit, NC 27200 i - awapa°talpDame-, i33�5T.9-efi21.. ' QUALITY CONTROL DATA Project = WWTESTING` t .Pace Project No.: 92258494' QC Batch: WETA123602 Analysis Method: EPA 353.2 QC Batch Method: EPA353.2:',:. Analysis Desa_iption: 353.2 Nitrate + Nitrite, preserved ' Attsodated Lab Samples.' 92258414001 { METHOD BLANK 1501941 Matnk- Water Asaoclated Lab Samples: M56414001 Blank Reporting : Parameter Units Result. Limit Analyzed Quailtlers Nitrogen, NO2 plus NO3 mg/L.' ND0.020 07/06/15 14:14 LABORATORY CONTROL SAMPLE: 1501942 o ` Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualftrs Nitrogen, NO2. plus NO3 M9fL 2A 2.4 96 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE:'1601943 1501944 MS MSD 92256346003, Spike Spike., _ MS MSD MS. MSD 96 Rea- -z f. Parameter -. Units'. Result Conc:-' . Conc.' Result RestSt 96Rec' %'Rec Limits RPD `- lVltrogeri NO2 plus NO3 mglL, 7.4' 2.5 2,$ 9.9 9.6 100 90 75-125 3 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1501945 1501948 - MS MSD. „ 92258835001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result. Conc. Conn Result. Result % Rec % Rec is RPD Quat ' Nlirogen, NO2 plus NO3 mg1L 39.2 2.5 2.5 41.4 41.6 85 98 75-125: 1 - Reautts presented on this page are In the units Indicated by the "Elnite" column except when an attentete unit Is presented to the tight of the result. REPORT OF LABORATORY ANALYSIS This fepon shall not be reproduced, except in full. DaW 07/ 1312015 08:38 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 11 k at,e/`Ufalytrv[i!* QUAE.IFIERS "mot tiProjed F WW TESTING 'M= f Pace geCt No. js'1� .4 �• 'l Pace Anatytf6at 8eiviasar lea . 205 East Meadow Rued gytteeA,: . Aden., ntc essay (eyB2sae2, . `tom ..PAl�'+. I„. -- r dF D[lutl represents If reported reprasea the factor applied to the reported data due to dllution of the Bemplti aliquot `n ` NU Not Defected at cu above adjusted reporting AmIL J - I59mated i onces<ration above the adjusted method detection Ilmil and belt It the adkusted reporting limit _ F "[uIDL -Ad fed Method Detection Llrrtit t PQ Practical Quantltatlon Urnit RL Repotting Un a` S r far 5 ; . i,2-DlptrerryUiydrszlne dec ornposes to and Cannot be separated from Azcbenzme using Method 8270. The result each anatyte is s a y a combined conCentratian. Consistent wltft EPA guidelines, unfounded data are displayed and have been used to eak;ulate % recovery and RPfl values. LCS(D) 'Lsborelory Canitroi Sample (Duplicate) ` MS(D) Miatrtx Spike (�uplhate) DUP Sample Duolkate RPD - RetattVa Percent Difference z - NC - Not Cak�iable. - - SG - SMca Gel - Clew -Up... 1 U Indlcateo the caaipolutd~was analyzed for, but not detected.:: y ' = Add prEservatlart may not be appropriate for 2 ChloraettrySvtny! ether Slyrerie, and Vinyl chloride. ^ A,separete'vlal'preasrved to a pH of 4-51a recommended In SWW Chapter 4 for the analysis of Acroletn and Acrytonitrile byEPA r > . Method 82150.1 N-Nltnosodfpharrylamine decomposes and cannot be separated from D1pt±enylamine using Method 82.70. The result reported for each analyte la a combined concentration. Peoe Analytical la TNI atxxedlted: Contact your Pace PM for the cement 113t of accredited analytes. r _ TNI - The NELAC institute. ANALYTH QUALIFIERS. M1 Matrix spike recovery exceeded DC Iinrits. Bairn accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall nol be reproduced, except in full, Date: 07/13/2015 08:36 AM without the written mneent of PaceAnalytiral Services. Inc., Page 6 of t i Paco Ana "cal BeTvlaas. h10. /y,, ,�,,+a CZV,�./'1f. coca 205 East Meadow Road * $4ft A e Edeti, NC zy= QUALITY CONTROL DATA CROSS REFERENCE TABLE' ProJeci WWTEST]NG r' '• F. 9 Pare Prajecl,NO.: 92258414 Analytical ' Sa pie ID:.. QC Batch Meffi6d',• QC Batch Analytical Method Hatch t 92286414001 ` :. OUTFALL 1, - SM 2540D EDEN119082 922664140(M OUTFALi'I EPA 16648 GCSV121308; :� ,- y _ 92286414001 OUTFALL 1 TKN+NO3+NO2 WET13B731 CaimdBlion 922564140D7 OUTFALLi EPA351.2 WETAMS12 92258414001 OUTFALL 1; EPA 353,2 WETAl23002 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 07113/2015 08:36 AM without the written consent of Pace Analytical Services, Inc., Page 9 of l I x:CHAIN-OF'CUSTODY,I� Analytical Request -Document ;— �dy M B LEGAL D000MW III }dgrmB &kb rend ha umV& d ua aoamy. ��i if •'~ ���i �!( b1 �f HI ¢,t� =A -; ! y,' 7 -'r "'.P.ir._88BtlanB .'9edlonC t 1913701 ��. : :. . ,..: REGULATORY AGENCY IT C( y ` : '' Z7d7O F" NPDES I- GROIJNa WATER r RRINlQNG WATER r tw r RCRA r OTHER oFtwN = Pam OLNM Phana ; 3 23 Fme �; a' Pft)Pd Now: phod 8da Loeetlort 3 sTA1 Ragaaabd Gw DEWTAT _ •. Requad sm Analrafa A<IIIW W IY" . .. - 8am8ort O .`✓ z a •! - ''.i 1A0t1'4[COdaa r•. - - Z R.owwa�rr atrwm� { :, „MATM I COM COLLECTED prmwvsfl " i t -Wad "r Wi ' ww.. START Z_ SAMPLE iD °A , BmM+la IDa Ai118T BE UFriQIlE .'Itrmts `' . Tu � O � :$ e u OEwrarp r I > � � + GATE, MME '• tNTE, lA u Project Nol Lab I.D. x. *, 7-1 I Y,�r },�nAre �cciePuairAnQi{ aAra Tmy,. SAMPLE IXNIDRKINs },<.. ^t2 _ i �';sriAAauA1A >d'�"fi ?, . 14 •-CU: z _ N - a. • • ' ORIGINAL t ' PRI4[T Ftmw of BAlePL� �, � , t . ,` �' < / •DATE -`� L � �" � �. . 81(�tiATiAtE of BAELPLHt: MoMdi ti� L'iBpaSntNo�9ldpoiVl�hlnlwwe�ae�QP�oraNETSQd�pgm�et��odvfnBel�admpadt6tiPrmm�A6r �ntpddsdhg7Bd� . F,ALL-0.020sev.07, i�rMsy-200T SDK �A� , Reidsville: NC Stormwater Sahnpling,Checkl st 20�� Completed by Item description ' = 3 Sarimple during representative* stor, evetit:at0utfa1l *>0.1" rainfall; sampfed.w�thin 3o minutes of start ofi:e�ent, and,hd'othei.rainfill event?o 1" in ; previous 7Z hours: 2 Spring sample between April 1� June 30, or,Fali sample between July �, x; 1st and Decernber3 � At least fi0 days.has passe dsince last sample taken 4.. Sampl-:ref rigerated:until lab: ick-up 5.. punt spreadsheet _Calculate_ran'flovu;arid 7. Fill out.form B2 jnd•'C2, site inspection and summary j 8 Fill.out SDG monitoring report , a NC State form-SWU-246-XXXKXX page 1 9. Fill out Storm event.characteristics form NC Sate form SWU�246-XxXKXX page;2 10: After"an*' sis s complete 'check results against following benchmark values. Report any deviations to the site manager _ Benchmark. Result Total Nitrogen: 30 mg/L^ mg/L pH: 6-9 su 7 /S su: Oil and Grease: 15 mg/L N+o mg/L Total Suspended Solids: 100 mg/L _71- G mg/L 11. Compile all documents listed above, together with analysis results, scan and send to Environmental Specialist and Site Manager. Store hardcopy in Reidsville plant office 12. Environmental Specialist sends to NC State within 30 days of analysis results. Also places copy of all communications with NC DENR in Reidsville share site : CALIMRATidWAND SAMPLE ANALYSIS PROCEDURE EXTECH Qyster-l0 pH/mV/Temperature Meter Serial Number 022055 . pH a a sis ust be ;eiformed within 30 minutes of slam 'le collection. Turn on pH meter ; 2. Connect temperature and pH probes to meter 3. Remove storage cap from pH probe �+ 4. Rinse.pH probe with deionized water and blot dry with a clean; soft cloth or tissue. Y S. Place both the temperature probe and the pH probe in 7.01 pH buffer solution. 6. Shake the pH. probe gently to dislodge air bubbles and wait one minute for reading to stabilize. 7. Record temperature and pH reading. 8. Press and hold the CAL button until "GAL" flashes on the screen. a 9. Calibration will take approximately 30 seconds.. When complete, record final pH reading. .� 10. Remove probes from 7.01 buffer solution and rinse with deionized water and blot dry with a clean, soft cloth or. tissue: 11. Repeat steps 5 through 9 using the 4.01 pH buffer. solution. . ;zv< 12. Remove probes from 4.01 buffer solutlon and'rinse with deionized water and blot dry with a clean, Soft cloth or tissue. ' 13. Repeat: steps 5 through 9 using the 10.01 pH buffer solution . 14. Remove probes from 10.01 buffer solution and rinse with deionized water and blot dry with a ` clean, soft cloth or tissue.. . is. Irisert both probes in the storm water sample, and stir the sample gently to ensure homogeneity . ` and minimize, carbon dioxide entrainment. 16. Wait one minute for reading to stabilize. . 17. Record temperature and pH'reading. 18. Rernove-probes and rinse pH probe in'delonized water. Blot dry with a clean, soft cloth or tissue: 19. Dampen the inside of the pH storage cap with a small amount of pH 4.01 buffer solution and replace capon probe. CALIBRATION AND SAMPLE RESULTS EXTECH Oyster-10 pH/mV/Temperature Meter Serial Number 022055 pH 7.01 Buffer pH 4.01 Buffer pH 10.01 Buffer Storm Sample Date Temp Initial I Final Temp Initial I Final Temp Initial Final Temp pH 74.3�* 4;.61 7S'q IaOZ )O,af &r,o 7 r Air Products Internal Use Only St® r>lAwater DI9&irge ®utfail '(SD0) �naliiat�ve 1Vo»tvring deport` y For guidance on filling 'out this farm, please visit huB //h2o ear state.nc us/sulForms Dcm; ments.httm#m_isc rm� Pernut No N/C/C 1 ! d / Q / Q 1 161' or Cer[ifcate of Coverage No NfC�GI _ Factitty,Name ri �r [f :: County, 14GtKnt trLs Phone No. 14-ZE inspector: Date of Inspeetiori: Z7 / _ Time of Inspection: Total Event Precipitation (inches): • 7 5r , Was this a Representative Storm Event? (See information below} ' Yes Please check your permit'ra verrfy if Qualitative Moni#oring ?mist be'performed diiring a representative storm:event requirements vary). 2. By this signature, I ce..' report is accurate and co to th best of r6y knowledge: .. (Signature of P or Designee) l: Outfaff Descriptioln: Outfall Nb.. Structure (pi ,Glitch, etc.) Receiving Stream:. mar. Ilw_ Describe the industrial activities that occur within the outfall drainage area: t/ a 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: /o47yem _ T 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /(d d6r _ Page E of 2 0 W 1J-2,t2 -1 12601 I 4. G9ai ity:, Choose' the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy. A .4 . S. Flosting"'Solidg -Choose the number which best describes the arriotint of floating solids an the �l t storinwater discharge, where 1 is no'solids and.5 is'the surface covered with floating solids: (2) 1 3 4, 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in..-,.-,' ." the stormWater discharge, where 1 is no solids and 5 is extremely muddy: . 1 C2) 3 4 5 7, Is there any foam in the stormwater. discharge? Yes 8. :1 there an oil sheen in the stormwater'discharge? Yes 9. islhere'evidence of erosion or deposition at the outfall? - Yes No i 10. Other Obvious Indicators of Stormwater Pollution: List and describe NGw Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S W U-242-112606 Y'Q� 4[a'� '. t... _i. /[5�.. g C`F�R s40i����Y4' c_fl/YiS+ �� ®� � t1J�O ~' S. gutdance.on filling out this form, please visit ]Lt err state ncslsu/FormsJocsancois.htti!#;ntscfoljrlyg Permit �"CtctoCoveag�iNo :NIC! JC/SSI7777 t 4" Facility Name: County. ' L ! Phone No. 'zuz lnspzctoi: Gt�uf Date of Inspections G zi t ' Time of Inspection:' 76 36. t Total Event Precipitation (iriches)s .' Was this a Representative Storm Event. (See information below) .:Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary), A "Representative Storm Event" is,a storm event that measuies greater than 0.1 inches of rainfall and that,' " r is preceded by at least 72 hours Q days) in which no storin event measuring greater than 0.1 inches has occurred, A single storm event may contain up to 10 consecutive hours of no precipitation. By this signatuim,_I certify. - that this report is accu te:and complet the t of my knowledge: (Signature 6fJrm ttee;or Designee) is outfali'Deserioiion: p Outfall No.' Z Structure (pipe, ditch, etc.) Receiving Stream: e• 1te Describe the industrial activities that occur within the outfall drainage area: ele 1L4Attr&ee 2. Color- Describe the color of (light, medium, dark) as descriptors: _ using basic colors (red, brown, blue, etc.) and tint 3. Odor: Demribe any disti t odors that the discharge may have 0,e., smells strongly of oil, weak chlorine odor, etc.): AG Q1/_ _ Page I of 2 Swl 1.242.1 12608 1 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear " and 5 is very cloudy: S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater'discharge, where l is no solids and 5 is the surface covered with floating solids: . tf t 'J 1 3 4 5 6, Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: ] 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes Na . ' x 8. Is there an oil sheen in the stormwater discharge? Yes v !- 9. Is there evidence of erosion or deposition at the outfall?. Yes /Nql :y v 10. Other Obvious Indicators of Stormwater Pollution: List and describe Ap Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 swi r-z42-11 mg t AIR j ROWDU Air Products and Chemicals, Inc. 357 Marian Ave Tamaqua, PA 18252 Telephone (570) 467-4399 February 27, 2013 Division of Water Quality Stormwater Division 585 Waughtown Street Winston-Salem NC 27107 RE: NCS000030 Annual DMR Summary Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: RECEIVED N.G. Dept. of ENR MAR 0 4 2011 Winston-Salem Regional Office Enclosed please find Stormwater Discharge Monitoring Report Annual Summary for the Air Products and Chemicals, Inc. Reidsville, NC Facility for calendar year 2012. If you have any questions regaring this submission or require additional information, please feel free to contact me directly at 570-467-4399. Sincerely, Joseph Sebia Environmental Specialist Air Products and Chemicals, Inc. Electronic Materials Organization Tamaqua PA 18252 CERTIFIED MAIL: 7010 0780 0000 8680 9004 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year A O i Z Individual NPDES Permit No. NCS❑O 0 O❑❑O 3❑ O or Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑ This monitoring report summary.of the calendar year should be kept on file on -site with the facility SPPP. Facility Name: P\ti Paooyc,}s 04f,M,c-rkt,.r, IIyG Rr�r�sv►L�4 NG r��-���Ty County: Phone Number: (!3(0 ) .3 `t 9 ~ Z q (6'Z Total no. of SDOs monitored i Outfall No. b vi Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No j)9 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ' ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes'K No ❑ SW U-264-Generic-13Dec2012 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the Signature _ Date a ! z7 lity of finest and imprisonment for knowing violations." For questions, contact your local Regional Office: DWQ Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE FAYETTEVILLE REGIONAL OFFICE MOORESVILLE REGIONAL OFFICE-- 2090 US Highway 70 225 Green Street 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 (828) 296-4500 Fayetteville, NC 28301-5043 (704) 663-1699 (910) 433-3300 RALEIGH REGIONAL OFFICE WASHINGTON:REGIONAL OFFIC9 WILMINGTON REGIONAL OFFICE 943 Washington Square Mall 127 Cardinal Drive Extension 3800 Barrett Drive Raleigh, NC 27609 Washington, NC 27889 Wilmington, NC 28405-2845 (919) 791-4200 (252) 946-6481 (910) 796-7215 WINSTON-SALEM_REGIONA OFFICE CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 585 Waughtown Street Winston-Salem, NC 27107 'To protect Preserve, enhance (336) 771-5000 (919) 807-6300 North Carolina's water SW U-264-Generic-13Dec2012 " Ctz" AIR PRODUCTS Air Products and Chemicals, Inc. 357 Marian Ave Tamaqua, PA 18252 Telephone (570) 467-4399 March 8, 2012 Division of Water Quality Stormwater Division 585 Waughtown Street Winston-Salem NC 27107 RE: NCS000030 Annual DMR Summary Air Products and Chemicals Inc. 225 Equity Road Reidsville, NC 27320 Dear Sir or Madam: ��//N��QDept. of ENR 1�11 R 12 n411lZ V tston-3aieno Enclosed please find Stormwater Discharge Monitoring Report Annual Summary for the Air Products and Chemicals, Inc. Reidsville, NC Facility for calendar year 2011. If you have any questions regaring this submission or require additional information, please feel free to contact me directly at 570-467-4399. Sincerely, 1 Joseph Sebia Environmental Specialist Air Products and Chemicals, Inc. Electronic Materials Organization Tamaqua PA 18252 CERTIFIED MAIL: 7011 1150 0002 3820 3187 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) Calendar Year R 01 1 Individual NPDES Permit No. NCS[JJ ®A[ []Jj0 or Certificate of Coverage (COC) No. NCG❑❑❑❑❑❑ This monitoring report summary of the calendar year is due to the DWO Regional Office no later than March ys` of the following year. Facility Name: AIR N-0100G'73 C+4Vj,c*(.,C -L/f G 0,C_y���t County: R0C"c-''jC.,IjAA^ Phone Number: (5794 !g-7- 9 39 rl Total no. of SDOs monitored Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes © No ❑ P4 Total Rainfall,. inches Parameter, (units) ) O ,-.� .Y /1 • i"r� t � i ��� OU-M wtG- L �:. `%t N C,FJL� T KrV �i"'4v�Ll N NO W �I/"+G(. C O o (a►G Z Benchmark —A 30 ),D'ate;Sample `'Collected, ,. rmn/dd/yy. f Z) 101`l3 N -L —L it 17 11 0 ' N o 0o A/ 0 rJ D O I SW U-264-Generic-25May2010 Additional Outfall Attachment Outfall No. I Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ® No ❑ Total Rainfall ; inches Benchmark N/A 1 Date'Sarnple Collected,',, kv mm/dd/yy'1` NON Pow., Z z 5. 7 N 0 N e w 0&bt Orgy USA(- - («rL1 Ma) C Parameter SW U-264-Generic-25May2010 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possitfik of fines and) imprisonment for knowing violations." Signature Date :? Mail Annual DMR Summary Reports to: DWO Regional Office Contact Information: SW U-264-Generic-25May2010 EN i ' JUL 1 3 2005 . 1F it li Michael F. Easley, Govemor William G. Ross 3r., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P. E. Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality STAFF REVIEW AND EVALUATION WSRO NPDES Stormwater Permit Facility Name: Air Products & Chemicals, Inc. NPDES Permit Number: NCS000030 Facility Location: Reidsville, NC (Rockingham Co.) Type of Activity: Industrial —manufactures liquid oxygen, nitrogen, and argon. SIC Code (if applicable): 2813 (Industrial gases) f Receiving Streams: UT to Little Troublesome Creek (index no. 16-7) [Impaired] River Basin: Cape Fear River Basin, Sub -basin 03-06-01 Stream Classification: C-NSW Proposed Permit Requirements: See attached draft permit. Compliance Schedule: N/A. Basis for Monitoring: See attached Monitoring Data Analysis. Removed TP and TSS monitoring Kept COD monitoring for at least two more years; footnote explains that if all values below 120 mg/l, site may discontinue monitoring for remainder of the permit. All monitoring has changed to Semi -Annual (spring and fall). This change is based on the Division's revised strategy for stormwater monitoring in renewal permits and makes stormwater discharge sampling frequency consistent with qualitative monitoring. In addition, DWQ has incorporated benchmark values into the permit. These benchmarks are not permit limits but should be used as guidelines for the facility's Stormwater Pollution Prevention Plan (SPPP). New language specifies that if any measurements exceed benchmark values, the facility should evaluate the effectiveness of its BMPs, review and/or update its SPPP, and document any efforts to address stormwater contamination (see Part 11, Sec. B & D). Total Flow monitoring has been removed per DWQ revised strategy (Total Rainfall and Event Duration parameters retained). Instead, Part 11. Sec. A clarifies that SPPP site map include drainage area for each outfall in acres and percent impervious area in each drainage area (should flow ever need to be estimated). Basis for Other Requirements: TMDL language added in Part II, Section B—impaired stream segment & upstream of Jordan Reservoir. Response Requested by (Date): August 15, 2005 N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733-7015 l NLDENR Customer Service I-877-623-6748 NCS000030 Central Office Staff Contact: Bethany Georgoulias, (919) 733-5083, ext. 529 DOCUMENTS REVIEWED NPDES Stormwater Permit Application Materials S/W Permit File Analytical &Qualitative Monitoring Results summary Cape Fear Basinwide Plan (rev. July 2000) & Draft Plan rev. March 2005, out for Central Office Review Summary: Since last renewal, the company has had no significant changes in industrial activities. This site compresses, liquefies, and distills components of the incoming air stream into liquid nitrogen, oxygen, and argon. Facility discharges stormwater into impaired waters. Little Troublesome Creek was added to the 303(d) list because of impaired biological integrity (and further downstream of Reidsville WWTP, fecal coliform). The potential sources noted are urban runoff and storm sewers. A fecal TMDL for Little Troublesome Creek was approved in May 2002, but no loads were allocated to any permitted point source dischargers (would include NPDES Stormwater discharges), and activities at this site should not be a significant source of the bacteria. The Draft 2005 Cape Fear Basinwide Plan cites the November 2002 WARP Study that identified toxicity, organic enrichment, and habitat degradation from impervious surface runoff, urban development, unpaved roads, road construction, and cropland and streambank erosion as the biological community stressors in the stream. Also, stormwater discharges throughout this sub -basin potentially contribute nutrients downstream to the Haw River Arm of Jordan Lake Reservoir, impaired from chlorophyll a violations. The Jordan Reservoir and Haw River Nutrient Sensitive Waters (NSW) Management Strategy and TMDL for the Upper New Hope Arm resulted in nitrogen and phosphorus loading limits for the Reidsville WWTP wastewater discharge. Current recommendations are also for all local governments in the Haw River Arm watershed to meet NPDES Phase II stormwater requirements and to achieve stormwater TN & TP export performance goals for new and existing development. This is important for the Air Products facility for two reasons: It is located in Reidsville, a municipality not automatically designated in Phase II, but one that will probably be brought in as a result of NSW Management Strategy requirements for the Cape Fear Basin; also, the activities at this site are a potential source of nitrogen. Qualitative Monitoring Results: Permittee sent results from 1999-04. No problems observed. Analytical Monitoring: See attached Monitoring Data Analysis. Permittee's outfall 001 was granted representative status in 1995 (letter attached). Recommend removing TP (not a significant source of phosphorus) but retaining TN monitoring (maximum close to benchmark of 30 mg/1) because of nutrient concerns in this watershed. Also removed TSS monitoring because values were well below benchmark (1999 permit reviewer noted more data needed to definitely rule out need for monitoring). Probably not necessary to include pH monitoring for this site. For this industry sector, the EPA Multi -Sector permit includes monitoring for total recoverable Aluminum and Iron, but these are not pollutants of concern at this facility. Nitrate+nitrite monitoring would also not apply. Monitoring frequency will increase to semi-annually. This change ensures at least nine data points are collected through the permit term and makes monitoring frequency consistent with qualitative monitoring. Also, benchmark values for all parameters have also been added to the permit as a guide for the permittee to check the effectiveness of BMPs (and document efforts) when necessary. Because TN monitoring is based on a potential source, a benchmark concentration for this nutrient is included (would not be if only monitoring to collect data). COD levels decreased markedly since 1999 (from 142 to <25 mg/1). Facility has made significant efforts to eliminate several chemicals on site and improved storage practices the past few years, though it's not certain if anything specifically removed the source. Because quarterly monitoring during 2002-03 recorded four values, reviewer recommends keeping COD monitoring (semi-annual) for at least two more years to collect four additional data points. Site may discontinue monitoring if no values are above the benchmark. NCS000030 Follow-up with the company contact (David Eberle, 336-342-2311) on 5/17/2005: • There are vehicle maintenance activities at this site with oil usage exceeding 55 gal/mo. (tractor maintenance); however, any spilled oil or other runoff in this area drains to the oil/water separator and into the sanitary sewer. All used oil is collected by a vendor. No stormwater runoff contacts residue from these activities. • COD was in the I00s back in 1994 and 1999 (116 and 142 mg/l, resp.), but 2002-03 monitoring showed substantial decrease (<30 mg/1). Any particular reason or different BMPs? Not sure. ]Talked with Environmental Engineer for the site, Damian Marcinek (610-481-5766) on 5/17. Company has been in the process of eliminating several chemicals on site and has re-examined its storage practices the past few years. Probably no one particular change, but reinforcing BMPs already in place has hopefully made the difference. Site was concerned when COD jumped up in 1999.] • Any other chemicals stored outside besides diesel fuel and liquid NZ, OZ, and Ar? No. All diesel fuel tanks are now underground and monitored around the clock. Recommendation: Based on the documents reviewed, the application information submitted on October 22, 2004 is sufficient to issue an Individual Stormwater Permit. Prepared by (Signature) Stormwater Permitting Unit Supervisor Concurrence by Regional Water Quality Supervisor Date J ZL�d i Tf �E i, t 1 j 1I k,k' Date ! Date h 3 Date NCS000030 Regional Office Staff Comments Stormwater Monitoring Data Review - NCS000030 (2005 Renewal) Permit: NCS000030 Facility: Air Products & Chemicals, Inc. Reviewer: S. Georgoulias Receiving Waters: UT to Little Troublesome Creek" Classification: C-NSW CMC = Criterion Maximum Concentration FAV = Final Acute Value *303(d) listed stream Benchmarks last updated 5/4/2005 by B. Georgoulias & J. Wynn Analysis Guidance: Check for any measured values that equal or exceed benchmark concentration. (Check. maximum value) Also consider.- are any borderline, or otherwise still considered a pollutant of concern (POQ? Use BPI. Values are for Freshwater. Check criteria for Saltwater and Human Health Consumption (Lk/Wer Supply) when applicable, to see if more stringent values are appropriate. vY'r; �i< �,3'�r A�. "rr'_ •t1Et�J' �i 7�} 1�'•.7- >}�J i 1? r m a a '-r z .� '; ��.'� � .7'� a 7 � ry Benchmarks k f i 3ia ,, Cone : +( youtfall x' Y� w rjSi �'. 001= a y r Max,r ?' ,Y" y5� r.. �•• �'�'. aT: i•. �, -,.+ - z,�, r.: h �?k ,xUnits �,� e',; :r• .:.y'.� �.5- G-""5:.;,3"iY...�,�F.rS.�,.. §. .M:' '-r�� g •' i s f ;? { ; � .� '1� � t rS No,}' � -; ry'}. �` t . E�.. i t� .... r4. n• ( b[i. EA �t' "�1,� w �!3`.N. 74, 4x7 �'� I - 7.<,', er �,. �.x� t�Ly[,-g:.1 =;. 4*;,. �•,�s,�� . F�� COD 120 25 m I BPJ, Generally found at levels 4 x (BOD5) in domestic wastewaters. Nitrate + Nitrite (NO3+NO2) 10 - mg/I National Primary Drinking Water Regulation in 40 CFR 141.11 and 15A NCAC 2B for nitrate (Expressed in mg/I of N). Nitrogen, Total (TN) 30 28.2 m I TKN + Nitrate + Nitrite Benchmarks (Expressed in m I of N). Oil and Grease 30 - m I BPJ, based on wastewater permit limits. H (min, max) 6-9 su Water Quality Standard (Except Sw waters can be as low as 4.3 Phosphorous, Total (TP) 2 0.5 m I BPJ, based on wastewater permit limits for NSW waters. TKN (Total K'eldahl Nitrogen) 20 - m l BPJ, based on approximate equivalency to secondary treatment of wastewater. Expressed in m l of N. TSS 1 100 27 m ] BPJ, EPA Multi -Sector Permit 5/17/2005 Pagel Cape Fear River Basin The proper technical conditions do not yet exist to develop TMD7 Assessment Year Waterbody and Description Unit (AU) Class Subbasln lmpalredUse Listed Category and Reason for Listing Potential Source(s) Miles Acres Stump Sound (DEH Area) B9 SA ORW 1998 7 145.0 Overall 1, 1998 7 Shellfish harvesting closure: 1. Municipal Point Sources Fecal Coliform 2, Onsite Wastewater Systems (Septic Tanks) Cape Fear River Basin Waters with impaired biological integrity. Assessment Year Waterbody and Description Unit (AU) Class Subbasin lmpairedUse Listed Category and Reason for Listing Potential Source(s) Miles Acres }law River 16-(1)a C NSW 30601 2000 6 7.7 From source to SR 2109, Guilford Overall 1, 2000 6 Impaired biological integrity: 1. Agriculture stressors not identified Haw River 16-(1)b C NSW 30601 2000 6 20.1 From SR 2109 to SR 2426, Guilford Overall 1. 2000 6 Impaired biological integrity: 1. Agriculture stressors not identified Troublesome Creek 16-6-(0,3) WS-III NSW 30601 2000 6 15.6 From source to Rockingham County SR 2423 Overall 1. 2000 6 Impaired biological integrity: l Agriculture stressor study complete Little Troublesome Creek 16-7a C NSW 30601 2000 6 3.3 From source to Reidsville WWTP Overall 1. 2000 6 Impaired biological integrity: 1. Urban Runoff/Storm Sewers stressor study complete Little Troublesome Creek 16-7b C NSW 30601 1998 6 5.0 From Reidsville WWTP to Haw River Overall 1. 1998 6 Impaired biological integrity: 1. Urban Runoff/Storm Sewers stressor study complete 2. 1998 4a Standard violation: Fecal Coliform Monday, April 26, 2004 North Carolina 303(d) Impaired Waters List-2004 River Basin: Cape Fear Page 3 of 112 ] _ r r�/ '7 � 1 f Name: No. Facility Location: Staff Review and Evaluation NPDES Stormwater Permit Contact: Antonio Evans Air Products and Chemicals NCS0000030 Air Products and Chemicals 225 Equity Road Reidsville, NC Rockingham County Type of Activity : SIC 2813, Industrial Gases Receiving Stream Name and Classification: unnamed tributary to Little Troublesome Creek, C NSW, B20SW _ Proposed Permit Requirements: See attached draft permit Compliance Schedule: See Part 111, Section A of attached draft permit Basis for Monitoring Requirements: Recommend continued monitoring for COD because this parameter is above the cutoff concentration (120 ppm) for last year of permit. Recommend monitoring for Total Nitrogen and Total Phosphorus because the receiving stream is NSW. Recommend continued monitoring for TSS to obtain additional data to definitively rule out future monitoring for this parameter. Basis for Other Requirements. NIA Prepared B VA , (Sig ature) (date) Permits and Engineering Supervisor: Bradley Bennett (signature) Response Requested Before: (with attachments) (date) Page 1 of 2 SUMMARY OF MONITORING RESULTS, AIR PRODUCTS PARAMETERS UNITS SAMPLE DATE 12/17/1994 SAMPLE DATE 02/17/1999 pH std. 7.1 6.86 OIL & GREASE m /l < 5 8 TOTAL RECOVERABLE LEAD U Lo 25 < i O TOTAL SUSPENDED SOLIDS m /I 12 38 DETERGENTS (MBAS) m A 0.35 < 0.1 COD m A 116 142 TOTAL RAINFALL inches 0.2 0.6 EVENT DURATION hours 5 22 New Motor oil Usage al/month 129 72 Flow MG 0.020386 0:122317 Flow Calculation Total Runoff Volume (cu. ft.) =total rainfall (ft) x [ (paved area'.90) + (unpaved area x .50) ) "EPA Guidance Manual for the preparation of NPDES Permit Applications for Storm Water Discharges Page 1 ducts and Chemicals, Inc. /i,nto,wn, Hamilton Boulevard PA 18195-1501 Telephone (610) 481-4911 Individual Permit Renewal Division of Water Quality I WQ Section Stormwater and General Permits Unit Post Office Box 29535 Raleigh, North Carolina, 27626-0535 Attn: Tony Evans 12 March 1999 Subject: Stormwater Permit Renewal, Air Products & Chemicals, Inc., Reidsville, NC, Permit # NCS000030 Dear Mr. Evans; Enclosed please find the stormw'ater permit renewal package for our facility at 225 Equity Road, Reidsville, NC. There have not been any significant changes in the industrial activities at the site since our previous permit application. One change that has occurred is that we no longer store or use isulfuric acid for.,industrial-wateutreatment'at The monitoring summary enclosed contains data from 2 monitoring events, the initial monitoring conducted in 1994 and the recent monitoring in 1999. Our initial monitoring event met the specified cutoff concentrations and no additional samples were taken until the current year. Also, we were unable to locate the visual monitoring results for 1995, the results from the.other years are included in the summary- The monitoring was conducted at outfall 001 as we were granted a identical outfall exemption and were authorized to sample only that outfall as representative of4y*a runoff at our site. A copy of that authorization letter is enclosed.=z kxy ,.�7�cs^"��-._...,--., T=r„r. �-a4�Y?`•�1� This application and the Stormwater Pollution Prevention Phan eert11716 ton�E been signed by our Site Manager, David Eberle, as a delegated, authorized representative of the company relating to the overall responsibility for environmental matters at the site. The Signature delegation was previously sent to the NCDEHNR, a copy of the submission is enclosed. If you should have any additional questions or require any additional information regarding this application, please contact me at (610) 481-5766 or contact our site manager, Mr. David Eberle at (336) 342-2311. Thank you. Sincerely, Damian Marcinek Environmental Coordinator GEG Environment, Health & Safety rth Caroiinc nt of Environment, nd Natural Resources of Environmental Management , hes B. Hunt, Jr., Governor Jonathan B. Howes, Secretary :'A. Preston Howard, Jr., P.E., Director Air Products and Chemicals, Inc. Attn: Francis-P. Rudy / MC W 1402 7201 Hamilton Blvd. Allentown, PA 18195-1501 Dear Francis Rudy: i . IDEHNF February 22, 1995 Subject: Request for Identical Outfall Exemption NCS00030 - Air Products and Chemicals, Inc. Rockingham County Your request to sample the stormwater discharge outfall 001 on your site for"purposes of NPDES stormwater general permit monitoring requirements has been reviewed by members of the Water Quality Section staff. Your request described two (2) outfalls of which are associated with substantially'identical industrial activities and runoff from non -industrial areas. Based upon staff review of your letter dated January 16, 1995, and attached site map, we have concluded that the requested determination is warranted and in accordance with Chapter 40 of the Code of Federal Regulation part 122.21 (g) (7). We authorize you to sample at outfall 001 as stormwater discharges representative of the runoff from the Air Products and Chemicals, Inc., facility for your NPDES stormwater general permit monitoring requirements. If you have any questions concerning this authorization, please contact Steve Ulmer at (919) 733- 5083 cc: Winston-Salem Regional Office Regional Offices Sincerely, . Coleen H. s, P.E. Supervisor, Permits and Engineering Asheville Fayetteville 'Mooresville' Raleigh Washington Wilmington Winston-Salem 704/251-6208 919/486-1541 704/663-1699 919n33-2314 919/946-6481 9191395-3900 919/896-7007 Pollution Prevention Pays P.O. Sox 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 An Equal Opportunity Affirmative Action Employer TO REIDSVILLE FACILITY ►-1 .' / F 5T� y OF ELxxRE A tNA k/TA 5 E APP ATP P • • X TORW TO STORM � Ot< EPA TOR DRAIN in n NA fiOAD • s i AIR PRODUCTS GATE l` E SE P R 1 • f • X • • PI R ER E QA NG •• t � • • • • • • • • • •• FIRE • • # � ��, • • Impervious Su.r1faceS • •• • • DRIVER • HOUSE • � • • • • X PARKfdG • • STORK • To • x Gravel Surfaces . ` • • • • ' ' . • ' • r r • • • • DRAIN a • •• # • BLDG. • RREIMI-E + • • • • �r • I • �R ARGON • ` • • • • • • RECYCLE COLUMN • • • • • I • ELEC. • CO►.tP • BOX • •. o • SUE35TATIOU [� ELECTRt0 L BLDG I -CAT • • x X * • • • I BLDG.- • EXCHANGER - • • •• w • +• • M : ! a • ' IRE • • • �, • ❑ HOUSE •+ • • • I' AIH • • r • • J I • • O COMP • AD• • D-Nx x ..« • • • �. • • • • STORM • • • • • • • • ® DRAIN • • • • + • • • • a •VF'10RE ` + •• COOLING .. 7QWERUSE •• A • • • •� r • _ - X qb • • • • • • k x x x GATE L\� RT 97 BARNESA ST. WIN I MW N Im REIDSVILLE FACILITY �002 Sanitary tool x x TIRE Ar+i X x x X---x X�l�X X- X DRUM LTG -� . PARKING I GATE 8LflG. 7 TRUCK K GARAGE' SZORM . � •� . ' � RAIN l.�X X----- OI I FIRST AID OFFICE • I BREAYHr46 AND X FIRE DIESEL FLIEL APPARMUS SUPPLY 1� I/ I HOUSE TANK — �' ! UY.IP To A1R PRODUCTS�� RT W BARNE.5 5T. F 1 STORM DRAIN TO ` STORM OL SEPARATOR � � �} DRAIN OIL / SC�J,£ - (D, 5EPARA7OR P17 ( TRAILER LOADING CONI' AREA uAINT BLDG. FIRE \," g DRIVER PAR" COuPR��50R KOA NBLDG. BC RECY0.E QL3Q LIN ~—�—} Lj: A 0 LIQUIO W ROTOR ARGON 4!c"YJCLJ U I-. E COLUMN ELEC. CI.Ip BOX 5L19STATION r ELECi[�tCALLDG 1-£AT I BLDG.'I EXCHANGER LOX FIRE HOUSE PL—&STORM pG RW FIRE ® COOLING ``3 11OU5E TOWER x — 1>vTFRNAL ROAD GATE a 3 4 z Or LL' PERMIT COVERAGE �( RI NEAVAL APPLICATION FORM Permit Number Natlonni Pollutant Dlsdiarbe Elimination System NCS000030 Storniwater Discharge Permit TIIIS AI'PLICA,rION imus,r 1ST: SIGNED AND RETURNED ALONG WITH THE, REQUFSTE.1) 5UPPLEMENTM, INFORMATION 'TO THE DIV. OF WATEIZ (ZUALITY IN ORDER FOR YOUR FACILITY TO QUALIFY FOR RIENE«'AL OF YOUR STORNMATER PERMIT NC:S000030 'the followinL, is the information currently in our database fur your facility. Please review this information carefully and make all corrections as necessary in the space provided to the right of the current information. OWNER INFORMATION Owner/Org. Name: AIR PRODUCTS & CHEWCALs tNC Owner COnMW: Mailing Address: Phone NUrnber: Fax Number E mail address: FACILITY INFORMATION Facility Name. AIR PRODUCTS S CIIEMICALS INC Facility Contact: f=aciIiI), Address: 225 EQUITY RI) REIDSVILLE, NC 27320 Phone Number: Fax Number E-mail address: PERMIT INFORMATION Permit Contact: DAVIT) V rIIERLE Mailing Address: 225 EQUITY RD REIDSVILLE, NC 27321) Phone Number: 3363-122311 Fax Number: E-mail address: DISCHARGE INFORMATION Discharge Receivin` Water: UT LI1 T'LE'rR()UBLES0NIE C'RELK Stream Class: C NSW Basin: CAPE FEAR Sub -Basin #: 030001 Number of outfalls: CERTIFICATION _336-349-2962 _336-342-0408 eberledv@apci.com 336-342--0408 eberledv@apci.com I certify that I atn familiar with the information contained in the application and that to the hest cif" my knowled!ae and belief such information is trtte, comple e ind accurate. 0 Si21lalu1e Date October 15_, 2004 M e_V. (Renie) Stack gran Pr — F.H&S Print or type name of person signing, above Title Please return this completed renewal application Barra to, Individual Pernik Renewal Attn: Slortnwater and Gencral Permits Unit 1617 Ma [I Service Center r) I,,; - I, Nr t, f!,..-I',,:, '?7(,99- 1 () 17 STORMWATER POLLUTION PREVENTION PLAN DEVELOPMENT AND IMPLEMENTATION CERTIFICATION N.C. Division of 14 aler Qrralir., Slorl icater and General Permits Umt Facility Name: AIR PRODUCTS & CHEMICALS INC Permit Number: NCS000030 Location Address: 225 EQUITY RD REIDSVILLE. NC 27320 CUUMV: ROCKINGHAM "1 certify, under penalty of law, that the Stormwater PrrllUtiOn Prevention Plan (SPPP) document and all attachments were developed and implemented under my direction or Super-visicm in accordance with a system designed to assure that qualified personnel properly gather and evalualc the information required by the SPPP. Based on my inquiryof the person or persons who manage the system, or those persons directly responsible for gatherin, the information, the information gathered is, to the best of my knowiedge and hclief, true, accurate, and complete" "I certify that the SPPP has been developed, signed and retained at the facility location and the SPPP has been fully implemented at the named facility location in accordance with the terms and conditions of the stormwater general hermit." "I am aware that there are significant penalties ror falsifying inl'()rmation, including the possibility of fines antl imprisonment fos- knowing violntions" Sign (according to permit signatory requirements) and return this Certification. DO NOT SENT) THE S'rORMWATER POLLUTION PREVENTION PLAN ti5'I'I'hl THE CER'I'IIrICA'riON. Signature ie V. (Renie) Stack Print or type name of person signing above � 1 •.- 11 Manager — EH&S Title $ITP Certil-m::idon 2199 SUPPLEMENTAL INFORMATION REQI IREID FOR RENEWAL OF INDIVIDUAL NI'DES S'C0RN,l11'ATER PERMIT jjL , copies of each of'the following shall accompany this submittal in order for the application to be considered complete: (Do not submit the site S[ormwa(er Pollution Prevention Plan) �Initial-, YJ /' + 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location Of industrial activities (including storage of materials, disposal areas. process areas and loading and unloading areas), drainage structures, drainage areas for each outfal], building IJ locations and imper'viuus surfaces should be clearly ne otd. I A summary -of Analytical Monitoring results during the term of the existing permit (it* your hermit required analytical sampling). DO not submit individual lab reports. The summary can consist of a table including st:ch items as outfall number, parnrrreters sampled, lab results, date sampled, and storm event data. �r ��y] ' / / 3. A summary of the Visual Monitoring results. Du riot submit individual monitoring= reports. The summary can consist ol'a table includinb such items :as outf:all number, parasneiers surveyed, observations, and elate monitoring cunductc;d. Y J a. A summitry of (lie Best Management practices utilized at the permitted facility. Summitry should consist of a short narrative description of each BMP's in place at the facility. If the ] C implementation of any BMP's is planned, please include information on these BMP's. 5. A short narrative describing tiny si1tinifscant chan4zes in industrial activities at the permitted facility. Significant changes could include the addition or deletion of work processes, changes in material handlings practices, changes in material storage practices, and/or ]� changes in the raw materials used by the facility. G. Certification of the development and implementation of a Stormwater Pollution Prevention Ilan for the permitted Facility (Sign and return attached form). * If the final year analytical nio nitoring of the existing permit term has not been completed prior to filinU the renewal submittal, then the last years monitoring results should be submitted within 30 clays of receipt of the laboratory reports. (i.e. do not withhold renewal submittal waitin�(I Oat lab results) Representative storm sarnpling may noxv he conducted anytime during the year (the April to November window has been eliminated} and the representative rainfall event is now defined as a storm event that measures 4uremer- than 0.1 inches and is preceded by at least 72 hours in which 110 storm event nic.tsuring Urcater than 0.1 inches h,ts c}ccurred. ask _•fir: } — i` i `��v•�` 1025 u,�„ ✓ .y{ t •r ''-�•/r / -wry y - ~__�; � �02 �— "'} h A..�. / J W tan q IDS IL-r z v 0s avB a 9T f �n �� i ✓ �� O' I. R��Q ST a 4�, fee lew% '\x, '- �.. 00 rso Seh N O - # - _ _ F rr� OR* • �ShOPPL�B vl :1 � � �`rr� � 0 � Center r mV ._ , I �•�-,.-�-.� I NI ruftwER P•Colr Course• '• •�I,•�■. 1' _ 1�, / / �/ J1.f/�r71/,`! ������/�� i r % �� 774 • l 10 _ • Lam•■?^�'.q�� i � ��~ �� � _,.•�" �// 940000 �Q s �t° ti • \ FEET 4021 24 �` I' :.� mil- _ _ �. � % � � , �1 • � \I " \ ---- Se r-- _ I 1 p ca -�:.- a -��/ _ ad�"�: ��-\ . 1 r.. - _ ..I�Ra>?e�of2_/.'� ., •� •��. l`��-� JLn O D r. O o (D G o S J I 7] Y _ (3 N FLOW DIRECTION C.B. CATCH AA$IN M.N. MANHOLE C.G. CLEANOOT R.C.P. REINFORCED CONCRETE PIPE V.C.P. VITRIFIED CLAY PIPE C.M.P. CORRIGATEO METAL PIPE CAST IRON SOIL PIPE r111111111=Z STORM SEWER E _ INOLISTRIAL WASTE & SANITARY SEWER • 7 ■ MAFARI- SUB DRAINAGE 'SiGNiFICAUT maTERIALS' LISTED IN WORASHFET B2 OF SPCC.SWP] ROAN NOTE: BASE MAP PROVIDED BY APCI REFERENCE: I�envlr.r �n r�eG CA S-1G^A-n(rrin OGr�r<rlr�r �` rrl_'�O_�]� I SITE AND ORAINAGE MAP I E-NC Air Products and Chemicals; Inc. 225 Equity Road Reidsvilie, NC 27320 Permit No.: NCS000030 Analytical Data Outfall No. Date Sample Collected Total Flow Chemical Oxygen Demand Total Nitrogen Total Phosporus Total Suspended Solids 001 11/11/2002 0.225 <20.0 0.6 0.17 27 001 2/4/2003 0.153 <20.0 28.2 0.1 15.9 001 5/21 /2003 0.1529 <20.0 3.7 0.5 5.3 001 9/4/2003 0.4077 25 0.9 j 0.1 25.5 Visual Monitoring Summary Outfall No, Date Color Odor Clarit Floating Solids Settled Solids Suspended Solids Foam Oil Sheen 001 5/12/1999 Clear None Clear None None None None No 001 4/9/2000 Clear None Clear None None None None No 001 1218/2000 Clear None Clear None None None None No 001 4/4/2001 Clear None Clear None None None None No 001 1019I2001 Clear None Clear None None None None No 001 4/10/2002 Clear None Clear None None None None No 001 11/11/2002 Clear None Clear None None None None No 001 5/12/2003 Clear None Clear None None None None No 001 Fall 2003 No data in files 001 Sprinq 2004 No data in files 001 8/21/2004 Clear None Clear None None None None No 1.1 BASELINE BEST MANAGEMENT PRACTICES Baseline BMPs are general practices that apply to most industrial sites, independent of the types of materials used, processes employed, products manufactured, or site location. Baseline BMPs are relatively simple, inexpensive, and cost-effective because they emphasize prevention of pollution rather than treatment cf pollutants. The baseline BMPs listed in Section 8.1 are employed across the entire facility and are not necessarily associated with any specific source of significant materials listed in Worksheet B2 of Appendix B. 1.1.1 GOOD HOUSEKEEPING Good housekeeping involves a common sense approach to improve and maintain a clean and orderly work environment by implementing the following practices: • Sweeping parking lots • Storing chemicals in a neat and orderly manner Clean up small spills promptly Regular refuse pickup and disposal • Good storage and material inventory practices, including labeling of all containers • Schedule routine cleanup efforts • Discuss and promote good housekeeping practices with employees 1.1.2 PREVENTIVE MAINTENANCE A preventive maintenance program is an effective BMP for preventing surface or ground water pollution. A preventive maintenance program should include: • Timely inspection and maintenance of storm water management devices (e.g., cleaning oil/water separators, catch basins, etc.) Inspection and testing of facility equipment and systems to uncover conditions that could cause breakdowns or failures resulting in discharges of pollutants to surface water and ground water (including pipes, pumps, storage tanks and bins, pressure vessels, pressure release valves, and process and material handling equipment) • Proper maintenance of facility equipment and systems 1.1.3 RELEASE RESPONSE AND REPORTING PROCEDURES Effective spill and release response and reporting procedures are important because they provide for rapid response to mitigate the impact of the release. Release response and reporting procedures for this facility are described in more detail in Section 9. These procedures describe the following measures that will be implemented upon discovery of a significant release: • Access the risk • Control the release to the extent possible • Report the release to management and government agencies • Clean up the impacted area as soon as possible • Follow up with preventive measures 1.1.4 INSPECTIONS This facility is required to conduct a formal. documented inspection on a semiannual basis using a copy of Worksheet B2. inspection criteria is listed in the instructions to Worksheet B2. In addition to documented inspections, regular observations of process and material storage areas are encouraged to ensure that spills are detected and responded to as in a timely manner. Observations can be conducted during employees' regular "rounds" of the facility grounds and need not be formally documented_ 1.1.5 EMPLOYEE TRAINING Pollution prevention training for employees should be held annually. Training should be documented in the facility's training database or in employee records located at the facility. Employees are trained in the following areas: • Release Prevention, Reporting, and Response - a review of emergency procedures, communications, reporting and cleanup techniques. • Pollution Prevention - a review of the purpose and goal of this Plan, potential sources of storm water pollution at the site, BMPs implemented at the site, and the role employees fulfill in pollution prevention. 1.1.6 RECORDKEEPING AND INTERNAL REPORTING PROCEDURES Good recordkeeping and reporting procedures help to identify and communicate information about potential sources of surface water and ground water contamination and assure that appropriate measures are taken_ This Plan includes procedures for recording indents, such as spills or other discharges, along with other information describing the.quality and quantity of potential pollution sources. Ail pertinent information regarding a spill will be documented and records maintained for three years. Pollution prevention recordkeeping and reporting are integrated into current management systems and include: • The use of the RMS preventive maintenance system, or an equivalent system, for scheduling applicable preventive maintenance tasks and inspections. • Required reporting of spills and leaks to Line Management, Facility Environmental Coordinator, and Corporate EH&S_ The periodic review of significant safety and environmental issues or incidents and corrective action progress by a Line and Staff Management Safety Committee. 1.1.7 SPILL CLEANUP KITS AND MATERIALS Spill cleanup kits are maintained at the facility. They are routinely inspected to keep them in good workinc order. These kits are composed of absorbent sheets, pillows and booms, as appropriate_ In addition, sorbent materials such as oil -dry or vermiculite should be available at all times. Alkaline neutralizing kits or materials such as soda ash or lime should also be available onsite from a nearby chemical distributor, for those facilities that use sulfuric acid for cooling water treatment. Spill cleanup kits or materials are typically maintained within a reasonable distance of the following areas: • Truck fueling area • Truck terminal • Air Separation Unit (ASU) compressor area/Air Separation Process • Maintenance buildings or areas • A dedicated spill kit on each truck tractor 1.1_8 SPILL CLEANUP CONTRACTORS In the event of a spill, outside assistance for cleanup may be required. Worksheet B4 in Appendix B lists emergency response contractors located within a reasonable response time from this facility. 1.1.9 EMERGENCY PREPAREDNESS AND COMMUNICATIONS This facility shall have a Site Emergency Plan prepared in accordance with GEG EH&S Procedure 01.08.02.A, "Site Emergency Planning". Additionally, GEG EH&S Procedures 01.08.05.A.M., "Crisis Management" and 01.08.16.A.M., `HAZWOPER" address emergency preparedness. These procedures can be found in the GEG EH&S Manual. 1.1.10 SECURITY This facility is completed surrounded by a security fence. Access to the site is controlled through a main gate. Entry through this gate can be made only by a security access code or through permission received from the Control Room. Storage tanks, secondary containment systems, process areas and piping systems are confined within the fenceline_ The area is lighted and is subject to typical facility security measures, including restricted vehicular traffic. 1.2 ADVANCED GENERIC BEST MANAGEMENT PRACTICES Advanced generic BIv1Ps are generic measures or practices that are employed to address specific sources, materials, or activities that may be present at the facility. They include generic prevention, containment, and mitigation practices that can be applied to specific sources (e.g., fueling stations) commonly found at Air Products industrial gas facilities. Section 8.2 provides a reference list of generic BMPs that may be used at industrial gas facilities. Those source -specific BMPs that are actually implemented at this facility, and the locations where they are Implemented, are listed in Worksheet B2 of Appendix B. 1.2.1 SECONDARY CONTAINMENT Secondary containment systems are efle0ve in controlling spills. To be most effective, secondary containment systems and diversionary structures should meet the following standards: • The systems block possible routes by which spilled materials could reasonably be expected to flow, migrate, or escape into surface waters or upon the land from within the containment areas. • The secondary containment systems have sufficient capacity to contain the largest probable spill that could occur in the containment area plus an additional capacity to compensate for anticipated normal accumulation of rainwater. • The secondary containment system is sufficiently impermeable to contain spilled material for a duration necessary for the cleanup or recovery of the spilled substance. • The secondary containment system is routinely inspected for accumulated liquids, debris, or incompatible materials. • No transfer area, curbed storage area, or secondary containment system is drained into a watercourse or public sewage treatment plant unless provision is made to retain, by valves or other means, any accumulated rainwater until its condition can be determined. • No incompatible materials are stored within the same containment area. 1.2.2 LOADING AND UNLOADING OPERATIONS The following measures are key to preventing the release of significant materials during transfer operations: • Trainincq - Prevention of the release of materials during transfer operation is accomplished through implementing procedures discussed during personnel training programs, regular safety meetings, and briefings. • Vehicle positioning - Whenever possible, vehicles should be positioned within spill containment areas during transfer. Positioning near or over storm drains or sewer drains should be avoided. Wheel blocks and emergency brakes should be used to avoid sudden movement of the vehicle. if the vehicle is positioned near a traffic corridor, traffic barriers should be placed to avoid collisions. • Pre -positioning of spill kits, booms, or sewer block mats - If secondary containment is not available during loading or unloading, spill mats or 'booms must be readily available or pre - positioned to seal any nearby catch basins that could lead directly to surface water or sewer systems. • Pre -inspection of connections, fittings, and hoses - Prior to each unloading operation, connections, hoses and fittings should be checked to maker sure they are in good working condition. Unloading areas should be well illuminated if material transfer occurs at night. • Dri_o pans - Drip pans or buckets should be used to catch small volume leakage from transfer hoses or fittings during transfer operations. Captured materials should be reused or properly disposed. • Overfill prevention - during a delivery, tank truck operators should be instructed to remain with the vehicle along with at least one qualified facility employee. Before a delivery, the liquid level in the receiving tank is checked. Employee training procedures include instructing operators not to leave the delivery area prior to checking and disconnecting the transfer line. Prior to material transfer, qualified facility personnel and the driver are instructed to: ♦ Predetermine the maximum volume of material that can be transferred without overfilling the tank. ♦ Check the liquid level in the tank(s) during transfer to avoid overfilling the tank. 1.2.3 ABOVEGROUND STORAGE TANKS The following practices should be implemented for aboveground storage tanks: • All pipes leading to and from aboveground storage tank(s) that enter the tank(s) below liquid level are equipped with valves sufficiently close to the tank(s) so as to prevent the contents of a tank from escaping the confines of the secondary containment area in the event of a pipe rupture outside of the containment area. Any valves that permit the direct outward flow of tank contents are kept in the closed position when in non -operating or standby status. • In heavy traffic areas, protective guards should be placed around tanks and piping to prevent vehicle or forklift damage. • Tanks, associated valves and piping should be clearly labeled to reduce human error. • Tanks and associated piping should be routinely inspected for integrity. 1.2.4 FUELING STATIONS The following practices should be implemented at fueling stations: • Avoid topping off - To minimize overfilling of truck fuel tanks, special fill procedures must be followed to ensure that there is adequate room for expansion of cooler diesel fuel drawn from underground tanks when it is placed in the truck saddle tanks and cryogenic delivery pump engines- Hot summer weather greatly increases the potential for overflow of vehicle fuel tanks that have been overfilled. To avoid this condition, the fuel tank should not be filled above the neck on the fuel tank. • Avoid unattended filling - When refueling vehicles, the driver should hold the fuel nozzle in hand during the entire refueling operation, even if the fuel nozzle has an automatic shutoff device. • Avoid hosing down- Cleaning the fueling area with running water should be avoided because the wash water will pick up fuel, oil and grease. Use dry clean-up methods whenever possible. Control and clean up petroleum spills immediately. • Keep spill kits accessible - An adequate supply of spill kit materials should be available before fueling vehicle. Control, report and clean up petroleum spills immediately. • Minimize storm water run-on - Minimize storm water run-on to the fueling area through flow diversion around the fueling station and using roofs over the fueling area when feasible. 1.2.5 VEHICLE MAINTENANCE AND REPAIR Many vehicle and equipment maintenance operations use materials that can be harmtr,l to the environment. The following practices should be followed at vehicle and equipment maintenance operations to reduce or eliminate potential sources of pollution: • Parts washing - Clean without using liquids (e.g., scraper, wire brush) whenever possible. Do all liquid cleaning at a centralized station so solvents and residues stay in one area. • Use nontoxic or low toxicity solvents - Minimize the number and volume of hazardous materials used. Avoid chlorinated solvents. Choose cleaning agents that can be recycled. • Control leaks and drips - Collect leaking fluids in drip pans. Keep a drip pan under the vehicle while unclipping hoses, unscrewing filters, or removing parts. Control leaks from wrecked or damaged equipment that may be stored outdoors. Promptly transfer used fluids to proper waste or recycling containers. Do not leave full drip pans lying around. • Drain oil filters - Used oil fitters disposed of in trash cans can leak oil and contaminate surface water. Place used oil filters in a funnel over the waste oil recycling or disposal collection tank to drain excess oil before disposal. Whenever possible, crush and recycle oil filters. Never pour licluid wastes into drains or onto the ground - Do not pour liquid waste to floor drains, sinks, outdoor storm drains, or sewer connections_ • Recycle materials - Whenever possible, recycle degreasers, used oil and oil filters, antifreeze, cleaning solutions, automotive batteries, hydraulic fluid and tires - Segregate and label wastes - Separating wastes allows easier recycling and may reduce treatment costs. Locate waste and recycling containers in clearly marked and controlled areas. 1.2.6 VEHICLE AND EQUIPMENT WASHING Washing vehicles and equipment outdoors or in areas where washwater can flow onto the ground can pollute surface or ground waters. Washwater can contain high concentrations of oil and grease, phosphates, and suspended solids. To reduce or eliminate these potential sources of pollution_ • Use designated cleaning areas only. Washwater is regulated as a process wastewater. It can only be discharged to a properly permitted sanitary sewer or process sewer line. • If a permitted sewer line is not available, washwater should be collected in bermed areas or sumps for offsite disposal. • As an alternative, offsite commercial washing facilities can be used 1.2.7 WASTE MANAGEMENT AREAS Wastes spilled, leaked or lost from waste management areas may build up in soils or be carried away by rainfall. To reduce the potential for pollution, the following practices should be implemented: • Minimize the amount of waste managed on -site. • Prevent run-off and run-on from contacting waste management areas. • Keep waste containers closed or securely covered. 1.2.8 TRANSFORMERS The following practices should be implemented in transformer yard areas: • Transformers should be inspected periodically for evidence of leaks. • Leaks should be cleaned up as soon as possible. • Adequate spill kit materials should be available to prevent a leak from reaching a waterway. 1.2.9 OIIJWATER SEPARATORS The following practices should be implemented to assure proper operation of an oil/water separator unit: • The level of oil captured in the unit should be routinely monitored and removed by a properly permitted used oil vendor. • Any associated oil skimmers should be checked for proper operation. • The wastewater effluent from the unit should be routinely observed or monitored to determine i# the unit is functioning properly. • The unit should be periodically cleaned to remove accumulated solids on the bottom of the unit and on any coalescing plates. • Spills and leaks should be cleaned up as soon as possible. • The discharge of solids and detergents to the oillwater separator should be minimized. 1.2.10 GREASE TRAPS AND GRIT CHAMBERS The following practices should be implemented to assure proper operation of grease traps and grif chambers: • The levels of accumulated oil and solids should be routinely monitored and removed for proper disposal. • Any associated oil skimmers should be checked for proper operation. • The wastewater effluent from the unit should be routinely observed or monitored to determine if the unit is functioning properly. • Spills and leaks should be cleaned up as soon as possible. 1.2.11 CHLORINE CYLINDERS The chlorine handling practices and emergency response procedures found in the Site Emergency flan should be followed. 1.2.12 DRUM AND CONTAINER STORAGE AREAS The following practices should be implemented at drum and container ("drums") storage areas: • The contents of alt drums should be properly identified by a label. • Drums that are stored in a horizontal position must be tightly sealed to avoid seepage through the bung. Drip pans should be placed beneath horizontal drums that have a dispensing valve installed. * Drums should be kept closed except when material is being added or withdrawn. • For drums stored outdoors, drums caps should be used if accumulated rain water on the top lip of the drum can cause contamination of the product. Outdoor drums should be stored off of the ground to prevent bottom corrosion and possible leakage from the drum. Wooden pallets may be used if an impervious surface is not available. • Drums should be neatly stored with sufficient access and aisle space. • Because empty drums often contain residual product, they should be managed according to the practices listed above, uniess they have been thoroughly cleaned. • Leaking drums should be immediately moved to a containment area, placed in a salvage drum, plugged, or the contents transferred into another drum. Spilled product should be cleaned up immediately. 1.2.13 SEDIMENT AND EROSION PREVENTION The following practices should be implemented in areas of high soil erosion potential or during construction periods: • Preserve existing vegetation or revegetate disturbed soil areas. • Stabilize stream banks. • Install interceptor dikes and swales. • Use fabric filter fences around disturbed areas. • Maintain storm water retention/detention ponds in good operating condition. 1.2.14 SARA 313 WATER PRIORITY CHEMICALS Facilities subject to reporting under SARA Section 313 for water priority chemicals may be required to implement special BMPs for storm water pollution prevention. Any applicable, special BMPs are further described in Sections 10.5.2 through 10.5.7. They must be implemented in areas where storm water can come in contact with SARA Section 313 water priority chemicals. 1.3 ADVANCED SITE -SPECIFIC BEST MANAGEMENT PRACTICES Advanced site -specific BMPs are measures or practices that are implemented at specific locations at this facility, They include such BMPs as oiVwater separators or underground storage tank leak detection monitoring. Site -specific BMPs implemented at this faciiity are described in Section 8.3 and the locations where they are implemented are identified in Worksheet 132 of Appendix B. 1.3.1 TRUCK FUEL/HEATING OIL UNDERGROUND STORAGE TANK SYSTEM;USED OIL ABOVEGROUND STORAGE TANK The truck fuel underground storage tank system consists of two 10,000-gallon diesel fuel underground storage tanks (USTs), submersible pumps with underground pressurized piping, leak detection system, spill and overfill prevention devices, and an associated fuel dispensing island. The tanks were installed in 1992. The Heating oil tank was installed in 1992 and is a 2500 gallon UST with a submersible pump with pressurized piping. Fuel releases to groundwater or surface waters may occur through the leaking of the underground tanks or underground piping system, or during fuel transfer at the fuel island, and possibly during fuel vendor deliveries. The underground tank system is equipped with the following features to prevent such leaks or spills. • Corrosion protection • Leak detection for tank and piping • Spill and overfill control • Automatic line leak flow restrictor The ATG is a Veeder-Root TLS-350 equipped with a continuous statistical leak detection (CSLD) tank level monitoring system. The system includes a sensing probe in the tank and a remote monitor with printer. The system provides continuous monitoring of product level, water level, and product temperature. Whenever the fueling system is idle, the TLS-350 collects data and performs a statistical analysis to detect leaks as small as 0.2 gallons per hour. There is no need to shut down the fueling system for the leak detection test. Leak tests are constantly being performed, and test results are automatically provided every 24-hour period, or on demand from the console printer. The red jacket pump for the diesel oil system is equipped with an automatic line leak detector flow restrictor that dramatically cuts the flow through the piping when the unit senses a leak. The double walled fiberglass piping has an interstitial leak detection monitor in the form of a piping sensor_ To prevent surface spills and tank overfills, each tank is equipped with a catchment basin, overfill alarm, and automatic shutoff device. The catchment basin is an OPW 1 Spill Container with 5 gallons capacity. A manual drain in the spill container can be used to drain spilled product back into the tank. tt water is present, the spill container will be manually bailed out.in addition to serving as a leak detection device, the Veeder- Root TLS-350 level monitor also serves as a high level alarm. A red alarm light is remotely mounted at the fueling island to indicate an overfill condition. An OPW 61-SO two -stage overfill prevention valve serves as both an overfill alarm and automatic shutoff device. The first stage alerts the transfer cperator by reducing the flow rate to approximately 2 to 5 gallons per minute through a bypass valve. The second stage will completely cut off flow inlo the tank by closing the bypass valve if the level approaches a critical overfill condition. The valve resets itself when the tank level drops below the critical level. Any spills that occur on the concrete fueling station pad drain to the 14.50 Oil/Water Separator where the spilled product is captured and can be removed. The fuel dispenser is mounted on a Total Containment dispenser sump to coniain any spills or leaks from the dispenser or associated piping. It serves as a termination point for the double - walled fiberglass piping from the submersible sump pump to the fuel dispenser. There is a 375 gallon double wall aboveground storage tank for temporary storage of used motor oil from the rouline maintenance of the truck ileet. This tank is located outdoors at the west end of truck garage bay. This tank was installed in 1992. 1.3.2 OILY WATER CONTROL SYSTEM 1.3.2.1 POLLUTANT SOURCES Contaminated rainwater run-off from the foundations of the following equipment discharges to the oil/water separator for treatment prior to discharge from the facility: • Truck Fueling Station (See Section 8.3.1) • 01,10 Main Air Compressor, Motor, Lube Oil System (600 gals.) 01.30 Nitrogen Make-up Compressor, Motor, Lube Oil Systern (300 gals.) • 01,40 Nitrogen Recycle Compressor, Motor, Lube Oil System (1,200 gals.) In addition, the washwater from the truck wash area (1,170 square feet) is collected and discharges to the oil/water separator. Any oil or grease picked up by the washwater would be removed in the oillwater separalor before discharging to the sanitary sewer for off -site treatment. 1.3.2.2 01LAVATER SEPARATOR The oillwater separator is designed to handle 100 gallons per minute (gpm) of wastewater flow. The oil/water separator has a maximum oil storage capacity of 2,500 gallons and will act as a containment device to capture accidental oil spills and/or leakage occurring at the equipment. After oil is removed in the oil/water separator, the effluent is discharged to the sanitary sewer, The oil/water separator is installed underground inside a concrete vault. This vault serves as a secondary containment device to capture any oil spill or leakage from the separator. Any leakage from the unit is unlikely. In the event of a small leakage into the concrete vault, sorbent materials shall be used to clean up the oil. The concrete vault should be monitored weekly to check for any leakage of oil. Oil will periodically be removed from the side -oil storage reservoir for proper disposal in compliance with environmental regulations. Any small spills related to a waste oil vendor pumping the stored oil from the oil/water separator would be cleaned up using sorbent materials. A large spill could be prevented from reaching a storm drain through the use of oil booms. 1.3.3 COOLING WATER TREATMENT BUILDING A small building adjacent to the cooling tower houses a small tank and drums of water treatment chemicals. Floor drains which lead to the sanitary sewer should be plugged under normal conditions. Major spills of water treatment chemicals should be recovered and reused in the cooling tower. Air Products and Chemicals, Inc. 225 Equity Road Rockingham. County Reidsville, North Carolina 27320 NCS 000030 Air Products and Chemicals, Inc. (APCI) is a major international supplier of industrial gases, chemicals and technology. The Reidsville, North Carolina facility, consists of an air separation plant and a truck terminal that is located in the Watlington Industrial Park on Equity Road in the City of Reidsville, NC. This facility began operation in 1978 and today produces greater than 300 tons/day of liquid nitrogen, oxygen and argon by separation of these gases from the atmosphere. The industrial gas manufacturing process includes compressing and liquefying the incoming air stream, and then distilling the liquefied air into its principal components: oxygen, nitrogen and argon. The equipment used in the air separation process includes compressors and expanders, heat exchangers, a distillation column (cold box), and other miscellaneous equipment. There have been no significant changes to the plant or any changes in raw materials used at this facility since the last permit submission. NCS000030 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY ul TO DISCHARGE STORMWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by�he�North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Air Products and':Chemicals, Incorporated is hereby authorized to dischargestormwaterfrom a facility located at 19' and Chemicals, Incorporated 2`25 Equity Road Reidsville, NC Rockingham County to receiving waters designated as an unnamed tributary (UT) to Little Troublesome Creek, a class C-NSW stream in the Cape Fear River Basin, in accordance with the discharge limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III, IV, V and VI hereof. Note: Draft Permit Dates are Approximate This permit shall become effective November 1, 2005. This permit and the authorization to discharge shall expire at midnight on October 31, 2010. Signed this day October 10, 2005. for Alan W. Klimek, P.E., Director Division of Water Quality By the Authority of the Environmental Management Commission Permit No. NCS000030 TABLE OF CONTENTS PART I INTRODUCTION Section A: Individual Permit Coverage Section B: Permitted Activities Section C PART II Section A Section B Section C Section D: PART III Section A: Location I MONITORIN DISCHARGE Stormwate Analytical Qualitative On -Site V, STANDARD Compliance and Liability 1. Compliance Schedule 2. Duty to Comply 3. Duty to Mitigate 4. Civil and Criminal Liability 5. Oil and Hazardous Substance Liability 6. Property Rights 7. Severability 8. Duty to Provide Information 9. Penalties for Tampering 10. Penalties for Falsification of Reports Section B: General Conditions 1. Individual Permit Expiration 2. Transfers PERMITTED Permit No. NCS000030 3. Signatory Requirements 4. Individual Permit Modification, Revocation and Reissuance, or Termination 5. Permit Actions Section C: Operation and Maintenance of Pollution Controls 1. Proper Operation and Maintenance 2. Need to Halt or Reduce Not a Defense 3. Bypassing of Stormwater Control Facilities Section D: Monitoring and Records 1. Representative Sampling 2. Recording Results 3. Flow Measurements -' 4. Test Procedures 5. Representative 0u fall '�. b. RecordsReten[1on an try 7. Inspectia +E Section E: Reporting Requirements .If L Dis arge, Reports 2. Submitting Reports 3. Availability of Reports 4. Non-Stormwater Discharges 5. Planned Changes G. Anticipated Noncompliance 7. Bypass 8. Twenty-four Hour Reporting 9. Other Noncompliance 10, Other Information PART IV LIMITATIONS REOPENER PART V ADMINISTERING AND COMPLIANCE MONITORING FEE REQUIREMENTS PART VI DEFINITIONS 11 Permit No. NCS000030 PART I INTRODUCTION SECTION A: INDIVIDUAL PERMIT COVERAGE During the period beginning on the effective date of the permit and lasting until expiration, the permittee is authorized to discharge stormwater associated with industrial activity. Such discharges shall be controlled, limited and monitored as specified in this permit. SECTION B: PERMITTED ACTIVITIES Until this permit expires or is modified or revoked, the stormwater to the surface waters of North Carolina oy been adequately treated and managed in accordance wi individual permit. All discharges shall be in accordance Any other point source discharge to surface allowable non-stormwater discharge or is cc errrutteeis authorized to discharge pa at storm sewer system which has ,the emis•and conditions of this r . N_ with the conditions of this permit. t\ is prohibited unless it is an permit, authorization or approval. This permit does not relieve the permitteef,romirespronsibility for compliance with any other applicable federal, state, or local,law, rule;j.standard, ordinance, order, judgment, or decree. Part I Page I of 2 SECTION C: LOCATION MAP Permit No, NCS000030 r gig _JS T rt AL4 15frr N A 1,,� 7 fix- 17- W., ".4 J .0i. tffF1 v V-7; 10 -A L I I 0, ! . 11 Air Produc ts & Chemicals, Inc.j t _7 P. V W 0 wo. Z _XA - V tint, g 4 � , 4._v. Awm V f= 4 7, w< 45 K rt 411 @A f6a 'A .4w A"i YA V*_ORN �-�l 'N I % ? x,.TJM, 5'.1 "TbZk f 3 M, XV t .. -•-a'r �-�' _ F'x°'<•Y.'-.�..aq.�y�F'�'WL_ U, V-5 t y jV V z, z.2 q T 110�rB _�7 14� zl� N Latitude: 36'19'50" pp., 7mFV,-X Longitude: 79'40'00" NCS000030 Facility a County: Rockingham Air Products & Location Stream Class: C-NSW Chemicals, Inc. Receiving Stream: UT to Little Troublesome Creek P Sub -basin: 03-06-01 (Cape Fear River Basin) rxottA ICALI 1:24,000 Part I Page 2 of 2 Permit No. NCS000030 PART II MONITORING, CONTROLS, AND LIMITATIONS FOR PERMITTED DISCHARGES SECTION A: STORMWATER POLLUTION PREVENTION PLAN The permittee shall develop a Stormwater Pollution Prevention Plan, herein after referred to as the Plan. This Plan shall be considered public information in accordance with Part III, Standard Conditions, Section E, Paragraph 3 of this individual permit. The Plan shall include, at a minimum, the following items: Site Plan. The site plan shall provide a description of tth.S physical facility and the potential pollutant sources which may be expected tocontribute to contamination of stormwater discharges. The site plan shall contain the`following: a. A general location map (USGS quadranglb,map or appropriately drafted equivalent map), showing the facility's location in relation to transportation 411 routes and surface waters, the narne:of,the receiving water(s) to which the stormwater outfall(s) discharge orb f`tie discharge is to a municipal separate storm sewer system, the nam Yof�thelmunicipality and the ultimate receiving waters; and accurate latitude andlonfgitude of the point(s) of discharge. _u b. A narrative descriptit0off stooge practices, loading and unloading activities, outdoor process areas, dustjor particulate generating or control processes, and waste disposal,rpractices C. A site map drawn�to-§dale with the following items: (1) Distance legend and north arrow (2) Location of industrial activities (including storage of materials, disposal areas, process areas and loading and unloading areas) (3) Drainage structures (4) Delineated drainage areas for each outfall (5) Drainage area for each outfall in acres and percentage of each drainage area that is impervious (b) Building locations (7) Existing BMPs and impervious surfaces (8) For each outfall, a narrative description of the potential pollutants that could be expected to be present in the stormwater discharge. d. A list of significant spills or leaks of pollutants that have occurred at the facility during the 3 previous years and any corrective actions taken to mitigate spill impacts. C. Certification that the stormwater outfalls have been evaluated for the presence of non-stormwater discharges. The certification statement will be signed in accordance with the requirements found in Part III, Standard Conditions, Section B, Paragraph 3. Part I1 Page I of 7 Permit No. NCS000030 2. Stormwater Management Plan. The stormwater management plan shall contain a narrative description of the materials management practices employed which control or minimize the exposure of significant materials to stormwater, including structural and nonstructural measures. The stormwater management plan, at a minimum, shall incorporate the following: Feasibility Study. A review of the technical and economic feasibility of changing the methods of operations and/or storage practices to eliminate or reduce exposure of materials and processes to stormwater. Wherever practical, the permittee shall prevent exposure of all storage areas, material handling operations, and manufacturing or fueling operations. In areas where elimination of exposure is not practical, the stormwater management plan hAl document the feasibility of NY diverting the stormwater runoff away from areas -of potential contamination. b. Secondary Containment Schedule. A 'sdhd'dule to provide secondary containment for bulk storage of liquid materials, storm of Section 313 of Title III of the Superfund Amendments and Reauthgrizatibn Act (SARA) water priority chemicals, or storage of hazardou s su Thnc s to prevent leaks and spills from contaminating stormwater runoff. If thejsecondary containment devices are Z.4 & d connected directly to stormwater conveyance systems, the connection shall be I #i Atg? controlled by manually acti;vatedvalves or other similar devices [which shall be �' 1 V2�1i � �A secured with a locking,mechanism] and any stormwater that accumulates in the Nl � containment area shallxbe,at a runimum visually observed for color, foam, outfali staining, visible sheens an&dry weather flow, prior to release of the accumulated stormwater. Accumulated stormwater shall be released if found to be uncontaminated by theAmaterial stored within the containment area. Records documentingtth,�e �d viduai making the observation, the description of the accumulated stormwater and the date and time of the release shall be kept for a period of five years. C. BMP Summary. A narrative description shall be provided of Best Management Practices (BMPs) to be considered such as, but not limited to, oil and grease separation, debris control, vegetative filter strips, infiltration and stormwater detention or retention, where necessary. The need for structural BMPs shall be based on the assessment of potential of sources to contribute significant quantities of pollutants to stormwater discharges and data collected through monitoring of stormwater discharges. 3. Spill Prevention and Response Plan. The Spill Prevention and Response Plan (SPRP) shall incorporate an assessment of potential pollutant sources based on a materials inventory of the facility. Facility personnel (or team) responsible for implementing the SPRP shall be identified. A responsible person shall be on -site at all times during facility operations that have the potential to contaminate stormwater runoff through spills or exposure of materials associated with the facility operations. The SPRP must be site stormwater specific. Therefore, a SPCC plan may be a component of the SPRP, but may not be sufficient to completely address the stormwater aspects of the SPRP. The common elements of the SPCC with the SPRP may be incorporated by reference into the SPRP. Part It Page 2 of 7 Permit No. NCS000030 4. Preventative Maintenance and Good Housekeeping Program. A preventative maintenance program shall be developed. The program shall document schedules of inspections and maintenance activities of stormwater control systems, plant equipment and systems. Inspection of material handling areas and regular cleaning schedules of these areas shall be incorporated into the program. 5. Employee Training. Training schedules shall be developed and training provided at a minimum on an annual basis on proper spill response and cleanup procedures and preventative maintenance activities for all personnel involved in any of the facility's operations that have the potential to contaminate stormwater runoff. Facility personnel (or team) responsible for implementing the training shall be identified. 6. Responsible Party. The Stormwater Pollution Pteventtlan shall identify a specific position(s) responsible for the overall coordinationdevelopment, implementation, and revision to the Plan. Responsibilities for all componentsof the Plan shall be documented and position assignments provided. 7. Plan Amendment. The permittee shall amend the,Plan whenever there is a change in design, construction, operation, or mai�enance which has a significant effect on the Potential for the discharge of polluta is ta�surface waters. The Stormwater Pollution Prevention Plan shall be reviewed�and uud`ai:ed on an annual basis. The Director may notify th�eIt""— ' e when the Plan does not meet one or more of the minimum requirements df the pehrmtt. Within 30 days of such notice, the permttee shall submit a time scheduleto the Director for modifying the Plan to meet minimum requirements. The permittee sliall provide certification in writing (in accordance with t �,- - Part III, Standard Cond tons, Section B, Paragraph 3) to the Director that the changes have been made. 8. Facility Inspection Program. Facilities are required to inspect all stormwater systems on at least a semiannual schedule, once in the fall (September -November) and once in the spring (April - June). The inspection and any subsequent maintenance activities performed shall be documented, recording date and time of inspection, individual(s) making the inspection and a narrative description of the facility's stormwater control systems, plant equipment and systems. Records of these inspections shall be incorporated into the Stormwater Pollution Prevention Plan. Stormwater discharge characteristic monitoring as required in Part I1 of this permit shall be performed in addition to facility inspections. 9. Implementation. The pernttee shall document all monitoring, measurements, inspections and maintenance activities and training provided to employees, including the log of the sampling data and of activities taken to implement BMPs associated with the industrial activities, including vehicle maintenance activities. Such documentation shall be kept on -site for a period of five years and made available to the Director or his authorized representative immediately upon request. Part IL Page 3 of 7 Permit No. NCS000030 SECTION B: ANALYTICAL MONITORING REQUIREMENTS During the period beginning on the effective date of the permit and lasting until expiration, the permittee is authorized to discharge stormwater subject to the provisions of this permit. Analytical monitoring of stormwater discharges shall be performed as specified below in Table 1. All analytical monitoring shall be performed during a representative storm event. The required monitoring will result in a minimum of nine analytical samplings being conducted over the term of the permit at each stormwater discharge outfall (SDO). The permittee shall complete the minimum nine analytical samplings in accordance with the schedule specified below in Table 2. Monitoring results shall be compared to the benchmark vvalues,in�able 3. The benchmark values in Table 3 are not permit limits but should be used aslguidelines,for the permittee's Stormwater Pollution Prevention Plan (SPPP). The permittee slali;evaluate the sources of any benchmark exceedances and evaluate the effectiveness- site BMPs. The permittee shall review and/or update the SPPP and document any efforts%tdress stormwater contamination. Table 1. Analytical Monitoring Requirements"rt `= Discharge P f� m Measurement Ei'equeiicyl SampleSample' � Cha>racteristicsTriits? Location3 ��; : Typez :_ Chemical Oxygen Demand Semi-annuall y Grab SDO Total Nitrogen �j Semi-annually Grab SDO Total Rainfall inched Semi -Annually Rainfall Event Duration ,minutes Semi -Annually Footnotes: I Measurement Frequency: All analytical monitoring will be performed twice per year, once in the spring (April - June) and once in the fall (September - November). See Table 2 for schedule of monitoring periods. 2 If the stormwater runoff is controlled by a stormwater detention pond, a grab sample of the discharge from the pond shall be collected within the first 30 minutes of discharge. If the detention pond discharges only in response to a storm event exceeding a ten year design storm, then no analytical monitoring is required and only qualitative monitoring shall be performed. 3 Sample Location: Samples shall be collected at each stormwater discharge outfall (SDO) unless representative outfall status has been granted. 4 If all COD values are below the benchmark value in Table 3 of this section after at least four samples have been collected, the Permittee may discontinue monitoring for this parameter. Part 11 Page 4 of 7 Permit No. NCS000030 Table 2. Monitoring Schedule �ylVlonrtoring peiriod' Sample:Number Start; Year 1 Fall. `�` �, See Footnote 2 September 1,�2005 No embei 30, 2005 Year 1 — Spring 1 April 1, 2006 June 30, 2006 Year 2 — Fall 2 September 1, 2006 November 30, 2006 Year 2 — Spring 3 April 1, 2007 June 30, 2007 Year 3 — Fall 4 September 1, 2007 November 30, 2007 Year 3 — Spring 5 April 1, 2008 June 30, 2008 Year 4 — Fall 6 September 1, 2008 November 30, 2008 Year 4 — Spring 7 April 1, 2009,E June 30, 2009 Year 5 — Fall 8 September fi',V 09 November 30, 2009 Year 5 —Spring 9 April 1,�2010 June 30, 2010 Footnotes: 1 Maintain semi-annual monitoring during permit renewal 2 If unable to sample a representative storm event prior to following spring_ .z Table 3. Benchmark Values for Om 2005, may begin sampling schedule the ;Disci arge W- Aracterist cs w4rY ` Un" is ' : r ` �Beiicti'mark , Sr Chemical Oxygen Demand 0 ;m 1v 120 Total Nitrogen m /l 30 This site discharges to impaired waters experiencing problems with fecal coliform and unpaired biological integrity, and to waters upstream of the Haw River Arm of the Jordan Reservoir, experiencing problems with nutrients and chlorophyll a violations (indicative of excessive nutrient loads). A Total Maximum Daily Load (TMDL) for fecal coliform was approved in May 2002 for Little Troublesome Creek, but the Permittee was not allocated a load for stormwater discharge and is not required to monitor for fecal coliform at this time. If additional TMDLs are approved for this segment of Little Troublesome Creek, the Permittee may be required to monitor for the pollutant(s) of concern in the future and submit results to the Division of Water Quality. The Division will consider the monitoring results in determining whether additional BMPs are needed to control the pollutant(s) of concern to the maximum extent practicable. If additional BMPs are needed to achieve the required level of control, the Permittee will be required to (1) develop a strategy for implementing appropriate BMPs, and (2) submit a timetable for incorporation of those BMPs into the permitted Stormwater Pollution Prevention Plan. Part 11 Page 5 of 7 Permit No. NCS000030 SECTION C: QUALITATIVE MONITORING REQUIREMENTS Qualitative monitoring requires a visual inspection of each stormwater outfall regardless of representative outfall status and shall be performed as specified below in Table 4. Qualitative monitoring is for the purpose of evaluating the effectiveness of the Stormwater Pollution Prevention Plan (SPPP) and assessing new sources of stormwater pollution. No analytical tests are required. Qualitative monitoring of stormwater outfalls is performed when stormwater discharge occurs but does not need to be performed during a representative storm event. In the event an atypical condition is noted at a stormwater discharge outfall, the Perrnittee shall document the suspected cause of the condition and any actions taken in response to the discovery. This documentation will be maintained with the Stormwater Pollution Prevention Plan. A Z All qualitative monitoring will be performed twice per year, once in -the spring (April - June) and once in the fall (September - November). v- 1% Table 4. Qualitative Monitoring Requirements Discharge Characteristics _' �Frequency�,-, Monitoring. f1 y-�G A �"-� `?. �- •y4 1 • #- to .. I:ocationl K..es Color Semi-annuall SDO Odor 5i "mtjannualr SDO . Clarity �Se fitially SDO - Floating Solids Semi -annuall SDO Suspended Solids Semi annually SDO Foam Semi-annually SDO Oil Sheen Semi-annually SDO Other obvious indicators SDO m of stormwater pollution Semi-annually Footnotes: I Monitoring Location: Qualitative monitoring shall be performed at each stormwater discharge outfall (SDO) regardless of representative outfall status. SECTION D: ON -SITE VEHICLE MAINTENANCE MONITORING REQUIREMENTS Facilities which have any vehicle maintenance activity occurring on -site which uses more than 55 gallons of new motor oil per month when averaged over the calendar year shall perform analytical monitoring as specified below in Table 5. This monitoring shall be performed at all outfalls which discharge stormwater runoff from vehicle maintenance areas. All analytical monitoring shall be performed during a representative storm event. The required monitoring will result in a minimum of nine analytical samplings being conducted over the term of the permit at each stormwater discharge outfall (SDO) which discharges stormwater runoff Part 11 Page 6 of 7 Permit No. NCS000030 from vehicle maintenance areas. The permittee shall complete the minimum nine analytical samplings in accordance with the schedule specified in Table 2 (Section B). Monitoring results shall be compared to the benchmark values in Table 6. The benchmark values in Table 6 are not permit limits but should be used as guidelines for the permittee's Stormwater Pollution Prevention Plan (SPPP). The permittee shall evaluate the sources of any benchmark exceedances and evaluate the effectiveness of any site BMPs. The permittee shall review and/or update the SPPP and document any efforts to address stormwater contamination. Table 5. Analytical Monitoring Requirements for On -Site Vehicle Maintenance Yy i r' Discha((rge"Charla'cteristtcs meµ. r_ i •r d.-� '� Units' 'i Y "�?.,$3 T..+r - ' Measurement l Sample a; ^ : 4�, SaR�nple �'"t In#:_Ri 31 yly a FrequencY.]Location4. 3 _�'+sy, -.� ��.� Q y � : H standard Serniin -anua�.11y., Grab SDO Oil and Grease mg/1 Semi-annualiy!Grab awcw .ter SDO Total suspended Solids m 1 Semr:=annually Grab SDO New Motor Oil Usagegallons/month Semi-annually Estimate - Rainfall inches nnual] Sa YTotal - - ae W' Rainfall Event Duration minutes emt�annuaIly Footnotes: � �: �-- 4.. 1 Measurement Frequency: All analytical m'' � onitoring wiII be performed twice per year, once in the spring (April - '0_ -; - . June) and once in the fall (September - November). See Table 2 (Section B) for schedule of monitoring periods. 2 If the stormwater runoff is con] pond shall be collected within i to a storm event exceeding a to monitoring shall be performed. by a 5formwater detention pond, a grab sample of the discharge from the [_Amr inutes of discharge. If the detention pond discharges only in response design storm, then no analytical monitoring is required and only qualitative 3 Sample Location: Samples shall be collected at each stormwater discharge outfall (SDO) that discharges stormwater runoff from area(s) where vehicle maintenance activities occur. Table 6. Benchmark Values for Vehicle Maintenance Analytical Monitoring nDtscharge_Characteristfcs xev ,Unitsn' Benchmark Total Suspended Solids mg/1 100 OiI and Grease mg/1 30 PH standard 6-9 Part II Page 7 of 7 Permit No. NCS0000 30 PART III STANDARD CONDITIONS FOR NPDES STORMWATER INDIVIDUAL PERMITS SECTION A: COMPLIANCE AND LIABILITY Compliance Schedule The permittee shall comply with Limitations and Controls specified for stormwater discharges in accordance with the following schedule: Existing Facilities: The Stormwater Pollution Prevention Plan shall be developed and implemented within 12 months of the effective date of the initial permit and updated thereafter on an annual basis. Secondary containment, as specified in Part II, Section A, Paragraph 2(b) of this permit, shall be accomplished within 12 months of the effective date of the initial permit issuance. Aty Proposed Facilities: The Stormwater Pollution Preveni the beginning of discharges from the operation of the i annual basis. Secondary containment, as specified in I be accomplished prior to the beginning of discharges 1 2. Duty to Com Iv tn`shall+be developed and implemented prior to al activity-and5be updated thereafter on an Section A Paragraph 2(b) of this permit shall 1;9peration of the industrial activity. The permittee must comply with all conditions of this individual permit. Any permit noncompliance it constitutes a violation of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation and reissuanceZo�r,modiftcation; or denial of a permit upon renewal application. a. The permittee shall comply" it standards or prohibitions established under section 307{a} of the � - , �"-�. Clean Water Act fo�toxic pollutants within the time provided in the regulations that establish these standards or prohibitions, even if the permit has not yet been modified to incorporate the requirement. t-1 b. The Clean Water`Act`pFovides that any person who violates a permit condition is subject to a civil penalty not to exceed $27,500 per day for each violation. Any person who negligently violates any permit condition is subject to criminal penalties of $2,500 to $25,000 per day of violation, or imprisonment for not more than 1 year, or both. Any person who knowingly violates permit conditions is subject to criminal penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. Also, any person who violates a permit condition may be assessed an administrative penalty not to exceed $11,000 per violation with the maximum amount not to exceed $137,500. [Ref: Section 309 of the Federal Act 33 USC 1319 and 40 CFR 122.41 (a).] Under state law, a daily civil penalty of not more than twenty-five thousand dollars ($25,000) per violation may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [Ref: North Carolina General Statutes 143- 215.6A] d. Any person may be assessed an administrative penalty by the Director for violating section 301, 302, 306, 307, 308, 318, or 405 of the Act, or any permit condition or limitation implementing any of such sections in a permit issued under section 402 of the Act. Administrative penalties for Class I violations are not to exceed $11,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed $27,500. Penalties for Class II violations are not to exceed $11,000 per day for each day during which the violation continues, with the maximum amount of any Class It penalty not to exceed $137,500. Part III Page 1 of 8 Permit No. NCS000030 Duty to Miti agate The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this individual permit which has a reasonable likelihood of adversely affecting human health or the environment. 4. Civil and Criminal Liability Except as provided in Part III, Section C of this permit regarding bypassing of stormwater control facilities, nothing in this individual permit shall be construed to relieve the permittee from any responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6A, 143-215.613, 143- 215.6C or Section 309 of the Federal Act, 33 USC 1319. Furthermore, the permittee is responsible for consequential damages, such as fish kills, even though the responsibility for effective compliance may be temporarily suspended. 5. Oil and Hazardous Substance Liability Nothing in this individual permit shall be construed to the permittee from any responsibilities, liabilities, or p under NCGS 143-215.75 et seq. or Section 311 of the I 6. Property Rights e theiifistituOn of any legal action or relieve to which=the permittee is or may be subject to tct, 33 USC 1321. The issuance of this individual permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor do Aalthor`ize any injury to private property or any invasion of personal rights, nor any infringement of Rderal., s0te or local laws or regulations. �o 7. Severability_ Z The provisions of this individual permit'dre severable, and if any provision of this individual permit, or the Je application of any provision of this individual permit to any circumstances, is held invalid, the application of such provision to other c_tances, and the remainder of this individual permit, shall not be affected thereby. 8. Duty to Provide Information The permittee shall furnish to the Director, within a reasonable time, any information which the Director may request to determine whether cause exists for modifying, revoking and reissuing, or terminating the permit issued pursuant to this individual permit or to determine compliance with this individual permit. The permittee shall also furnish to the Director upon request, copies of records required to be kept by this individual permit. Penalties for Tamperine The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring device or method required to be maintained under this individual permit shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a conviction of a person is for a violation committed after a first conviction of such person under this paragraph, punishment is a fine of not more that $20,000 per day of violation, or by imprisonment of not more than 4 years, or both. to. Penalties for Falsification of Reports The Clean Water Act provides that any person who knowingly makes any false statement, representation, or certification in any record or other document submitted or required to be maintained under this individual Part III Page 2 of 8 Permit No. NCS000030 permit, including monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. SECTION B: GENERAL CONDITIONS Individual Permit Expiration The permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to discharge beyond the expiration date, the permittee shall submit forms and fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date. Any permittee that has not requested renewal at least 180 days prior to expiration, or any permittee that does not have a permit after the expiration and has not requested renewal at IeW 180 days prior to expiration, will be subjected to enforcement procedures as provided in NCGS § 143�2153.6 and 33 USC 1251 et. seq. 2. Transfers This permit is not transferable to any person except aftefriotice to and approval by the Director. The Director may require modification or revocation and.reissuance,of.the permit to change the name and incorporate such other requirements as may be necessai=y rind r-the Clean Water Act. Permittee is required to notify the Division in writing in the event the$ceer"ittal,,fac lity is sold or closed. Signatory Requirementsy/ t', YS All applications, reports, or information submitted to the Director shall be signed and certified. All applications to be'covered;under this individual permit shall be signed as follows: (1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a ;,. responsible, corporate officer means: (a) a president, secretary, treasurer or vice president of the co poration in charge of a principal business function, or any other person who performs similar policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. (2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or (3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or ranking elected official. b. All reports required by the individual permit and other information requested by the Director shall be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: (1) The authorization is made in writing by a person described above; (2) The authorization specified either an individual or a position having responsibility for the overall operation of the regulated facility or activity, such as the position of plant manager, operator of a well or well field, superintendent, a position of equivalent responsibility, or an individual or position having overall responsibility for environmental Part III Page 3 of 8 Permit No. NCS000030 matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position.); and (3) The written authorization is submitted to the Director. Any person signing a document under paragraphs a. or b. of this'section shall make the following certification: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties,for submitting false information, including the possibility of fines and imprisonment for?ltrtowmg violations." 4. Individual Permit The issuance of this individual permit does not prohibit,ifie Dirrecctor from reopening and modifying the individual permit, revoking and reissuing the individual,permtt; or terminating the individual permit as allowed by the laws, rules, and regulations contained,in Title 40, Cade of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina Admiiiistrative,Cod' Subchapter 2H .0100; and North Carolina General Statute 143-215.1 et. al. Permit Actions The permit may be mo changes or anticipated SECTION C: OPERATION i Proper Operation and Maintenance issued, or terminated for cause. The notification of planned not stay any individual permit condition. ZCE OF POLLUTION CONTROLS The permittee shall at all times properly operate and maintain all facilities and systems of treatment and control (and related appurtenances) which are installed or used by the permittee to achieve compliance with the conditions of this individual permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality assurance procedures. This provision requires the operation of back-up or auxiliary facilities or similar systems which are installed by a permittee only when the operation is necessary to achieve compliance with the conditions of this individual permit. 2. Need to Halt or Reduce Not a Defense It shall not be a defense for a permittee in an enforcement action that it would have been necessary to halt or reduce the permitted activity in order to maintain compliance with the condition of this individual permit. Bypassing, of Stormwater Control Facilities Bypass is prohibited and the Director may take enforcement action against a permittee for bypass unless: a_ Bypass was unavoidable to prevent loss of life, personal injury or severe property damage; and There were no feasible alternatives to the bypass, such as the use of auxiliary control facilities, retention of stormwater or maintenance during normal periods of equipment downtime or dry Part III Page 4 of 8 Permit No. NCS000030 weather. This condition is not satisfied if adequate backup controls should have been installed in the exercise of reasonable engineering judgment to prevent a bypass which occurred during normal periods of equipment downtime or preventive maintenance; and C. The permittee submitted notices as required under, Part I11, Section E of this permit. If the Director determines that it will meet the three conditions listed above, the Director may approve an anticipated bypass after considering its adverse effects. SECTION D: MONITORING AND RECORDS Representative SampIin Samples collected and measurements taken, as required h nature of the permitted discharge. Analytical sampling st event. Samples shall be taken on a day and time that is�l taken before the discharge joins or is diluted by any other Monitoring points as specified in this permit shall not be the Director. Recording Results all%tie characteristic of the volume and !F rformed during a representative storm stic'of;the,discharge. All samples shall be rea n body of water, or substance. without notification to and approval of For each measurement, sample, inspectionfo"r maintenance activity performed or collected pursuant to the mit h permittee shall record the following information: requirements of this individual' a. The date, exact place, aadYtiiiieaof'sairipling, measurements, inspection or maintenance activity; b. The individual(s)�who performed the sampling, measurements, inspection or maintenance activity; C. The date(s) analyses,Nyer6performed, d. The individual(s) who performed the analyses; e. The analytical techniques or methods used; and f. The results of such analyses. Flow Measurements Where required, appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. 4. Test Procedures Test procedures for the analysis of pollutants shall conform to the EMC regulations published pursuant to NCGS 143-215.63 et. seq, the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act, as Amended, and Regulation 40 CFR 136. To meet the intent of the monitoring required by this individual permit, all test procedures must produce minimum detection and reporting levels and all data generated must be reported down to the minimum detection or lower reporting level of the procedure. Part III Page 5 of 8 Permit No. NCS000030 Representative Outfall If a facility has multiple discharge locations with substantially identical stormwater discharges that are required to be sampled, the permittee may petition the Director for representative outfall status. If it is established that the stormwater discharges are substantially identical and the permittee is granted representative outfall status, then sampling requirements may be performed at a reduced number of outfalls. Records Retention Visual monitoring shall be documented and records maintained at the facility along with the Stormwater Pollution Prevention Plan. Copies of analytical monitoring results shall also be maintained on -site. The permittee shall retain records of all monitoring information, including all calibration and maintenance records and all original strip chart recordings for continuous monitoring instrumentation, and copies of all reports required by this individual permit for a period of at least 5 years from the date of the sample, AV measurement, report or application. This period may be extended. by quest of the Director at any time. Inspection and Entry The permittee shall allow the Director, or an authorized.repiesentative (including an authorized contractor + ,e.: 1h acting as a representative of the Director), or in the case of a`facility which discharges through a municipal separate storm sewer system, an authorized represent at ive�of a,municipal operator or the separate storm sewer system receiving the discharge, upon the,presen ation o credentials and other documents as may be required by law, to; a. Enter upon the permittee's premises where Vregulated facility or activity is located or conducted, or where records must=be) ept undegthe conditions of this individual permit; b. Have access to andlicopy, at eea�§onable times, any records that must be kept under the conditions of this individual hermit; C. Inspect at reasotial 6.times'any facilities, equipment (including monitoring and control equipment), practices, or ope ations regulated or required under this individual pern*; and d. Sample or monitor at reasonable times, for the purposes of assuring individual permit compliance or as otherwise authorized by the Clean Water Act, any substances or parameters at any location. SECTION E: REPORTING REQUIREMENTS Discharge Monitorinp, Reports Samples analyzed in accordance with the terms of this permit shall be submitted to the Division on Discharge Monitoring Report forms provided by the Director. Submittals shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory. 2. Submitting Reports Duplicate signed copies of all reports required herein, shall be submitted to the following address: Division of Water Quality Water Quality Section ATTENTION: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Part III Page 6 of 8 Permit No. NCS000030 Availability of Reports Except for data determined to be confidential under NCGS 143-215.3(a)(2) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices of the Division of Water Quality. As required by the Act, analytical data shall not be considered confidential. Knowingly making any false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-215.613 or in Section 309 of the Federal Act. Non-Stormwater Discharzes If the storm event monitored in accordance with this individual permit coincides with a non-stormwater discharge, the permittee shall separately monitor all parameters as required under the non-stormwater discharge permit and provide this information with the stormwater discharge monitoring report. Planned Changes The permittee shall give notice to the Director as soon as po facility which could significantly alter the nature or quantity requirement includes pollutants which are not specificallyili notification requirements under 40 CFR Part 122.42 (a). Anticipated Noncompliance The permittee shall give notice to the I facility which may result in no, cn ompli Bvnass a. Anticipated bypass If the prior notice, if possible at the anticipated qual�tyand Aile6f,any.pl"anned changes at the permitted L-I .Y f pollutants discharged. This notification !d in the individual permit or subject to possible of any planned changes at the permitted iduat permit requirements. iittee knows in advance of the need for a bypass, it shall submit ten days before the date of the bypass; including an evaluation of I of the bypass. Unanticipated bypass. The permittee shall submit notice within 24 hours of becoming aware of an unanticipated bypass. Twenty-four Hour Reporting The permittee shall report to the central office or the appropriate regional office any noncompliance which may endanger health or the environment_ Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. The written submission shall contain a description of the noncompliance, and its causes; the period of noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the anticipated time compliance is expected to continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The Director may waive the written report on a case -by -case basis if the oral report has been received within 24 hours. 9. Other Noncompliance The permittee shall report all instances of noncompliance not reported under 24 hour reporting at the time monitoring reports are submitted. Part III Page 7 of 8 Permit No. NCS000030 L0. Other Information Where the permittee becomes aware that it failed to submit any relevant facts in an application for an individual permit or in any report to the Director, it shall promptly submit such facts or information. Part III Page 8 of 8 NCS000030 PART IV LIMITATIONS REOPENER This individual permit shall be modified or alternatively, revoked and reissued, to comply with any applicable effluent guideline or water quality standard issued or approved under Sections 302(b) (2) (c), and (d), 304(b) (2) and 307(a) of the Clean Water Act, if the effluent guideline or water quality standard so issued or approved: a. Contains. different conditions or is otherwise more stringent than any effluent limitation in the individual permit, or b. Controls any pollutant not limited in the individual permit. The individual permit as modified or reissued under this Act then applicable. PART V ADMINISTERING AND REQUI R El The permittee must pay the administering and the Division. Failure to pay the f Division to initiate action to revo 1. Act See Clean Water Act. 2. Arithmetic Mean 3 rd in ny other requirements in the MONITORING FEE ing fee within 30 (thirty) days after being billed by e with 15A NCAC 2H .0105(b)(4) may cause this DEFINITIONS The arithmetic mean of any set of values is the summation of the individual values divided by the number of individual values. Allowable Non-Stormwater Discharges This permit regulates stormwater discharges. Non-stormwater discharges which shall be allowed in the stormwater conveyance system are: (a) All other discharges that are authorized by a non-stormwater NPDES permit. (b) Uncontaminated groundwater, foundation drains, air -conditioner condensate without added chemicals, springs, discharges of uncontaminated potable water, waterline and fire hydrant flushings, water from footing drains, flows from riparian habitats and wetlands. (c) Discharges resulting from fire -fighting or fire -fighting training. Best Management Practices (BMPs) Measures or practices used to reduce the amount of pollution entering surface waters. BMPs may take the form of a process, activity, or physical structure. Parts IV, V and VI Page 1 of 5 Permit No. NCS000030 , 5. P 7 8 9 Bypass A bypass is the known diversion of stormwater from any portion of a stormwater control facility including the collection system, which is not a designed or established operating mode for the facility. Bulk Storage of Liquid Products Liquid raw materials, manufactured products, waste materials or by-products with a single above ground storage container having a capacity of greater than 660 gallons or with multiple above ground storage containers located in close proximity to each other having a total combined storage capacity of greater than 1,320 gallons. Clean Water Act The Federal Water Pollution Control Act, also known asithe C a—rh ater Act (CWA), as amended, 33 US 1251, et. seq. Division or DWO The Division of Water Quality, Department of Environment an 'Natural Resources. Director The Director of the Division 10. EMC The North Carolina En W it issuing authority. mm s Grab Sample Q_ :_ An individual sample collected instantaneously. Grab samples that will be directly analyzed or qualitatively monitored must be taken within the first 30 minutes of discharge. 12. Hazardous Substance Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act. B. Landfill A disposal facility or part of a disposal facility where waste is placed in or on land and which is not a land treatment facility, a surface impoundment, an injection well, a hazardous waste long-term storage facility or a surface storage facility. 14. Municipal Separate Storm Sewer. S stem A stormwater collection system within an incorporated area of local self-government such as a city or town. 15. Overburden Any material of any nature, consolidated or unconsolidated, that overlies a mineral deposit, excluding topsoil or similar naturally -occurring surface materials that are not disturbed by mining operations. Part VI Page 2 of 5 Pages Permit No. NCS000030 16. Permittee The owner or operator issued a permit pursuant to this individual permit. 17. Point Source Discharge of Stormwater Any discernible, confined and discrete conveyance including, but not specifically limited to, any pipe, ditch, channel, tunnel, conduit, well, or discrete fissure from which stormwater is or may be discharged to waters of the state. 18. Representative Storm Event A storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. For example, if it rains for 2 hours without producing any collectable discharge, and then stops, a sample may be collected if a rain producing a dischar e=begins a ain within the next 10 hours. P P Y P g g �r g g 3 19. Representative Outfall Status When it is established that the discharge of stc discharges at multiple outfalls, the DWQ may status allows the permittee to perform analytic 20. Rinse Water Discharge The discharge of rinse water f waters from vehicle and equip utilizing any type of detergent 21. Secondary Containment f f o a single outfall is representative of the ae outfall status. Representative outfall at a reduced number of outfalls. 44-gg areas associated with industrial activity. Rinse are process wastewaters and do not include washwaters Spill containment for the`c6ntents of the single largest tank within the containment structure plus sufficient freeboard to allow for the 25` year. 24-hour storm event. 22. Section 313 Water Priority Chemical A chemical or chemical category which: Is listed in 40 CFR 372.65 pursuant to Section 313 of Title III of the Superfund Amendments and Reauthorization Act (SARA) of 1986, also titled the Emergency Planning and Community Right - to -Know Act of 1986; b. Is present at or above threshold levels at a facility subject to SARA title III, Section 313 reporting requirements; and That meet at least one of the following criteria: (1) Is listed in Appendix D of 40 CFR part 122 on either Table II (organic priority pollutants), Table III (certain metals, cyanides, and phenols) or Table IV (certain toxic pollutants and hazardous substances); (2) Is listed as a hazardous substance pursuant to section 311(b)(2)(A) of the CWA at 40 CFR 116.4; or (3) Is a pollutant for which EPA has published acute or chronic water quality criteria. Part VI Page 3 of 5 Pages Permit No. NCS000030 . , 23 24 Severe Property Dama e Means substantial physical damage to property, damage to the control facilities which causes them to become inoperable, or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a bypass. Severe property damage does not mean economic loss caused by delays in production. Significant Materials Includes, but is not limited to: raw materials; fuels; materials such as solvents, detergents, and plastic pellets; finished materials such as metallic products; raw materials used in food processing or production; hazardous substances designated under section 101(14) of CERCLA; any chemical the facility is required to report pursuant to section 313 of Title III of SARA; fertilizers; pesticides; and waste products such as ashes, slag and sludge that have the potential to be released with storm water„discharges. 25. Sit?nificant Spills 26. 27. 28 29 IN Includes, but is not limited to: releases of oil or hazardo"ussiibstances iri-lexcess of reportable quantities under section 311 of the Clean Water Act (Ref: 40 CF�a1d .40 and CFR 117.21) or section 102 of CERCLA (Ref: 40 CFR 302.4). ,, , ,ah Stormwater Runoff The flow of water which results from precipitatidr;.and;which occurs immediately following rainfall or as a result of snowmelt. '� Stormwater Associated with Industrlal�Activity The discharge from any point source which is used for collecting and conveying stormwater and which is directly related to manufacttring, processing or raw material storage areas at an industrial site. Facilities considered to be engagedin industrial activities" include those activities defined in 40 CFR 122.26(b)(14). The term does not include dikharges from facilities or activities excluded from the NPDES program. Stormwater Pollution Prevention Pian A comprehensive site -specific plan which details measures and practices to reduce stormwater pollution and is based on an evaluation of the pollution potential of the site. Ten Year Design Storm The maximum 24 hour precipitation event expected to be equaled or exceeded on the average once in ten years. Design storm information can be found in the State of North Carolina Erosion and Sediment Control Planning and Design Manual, Total Flow The flow corresponding to the time period over which the entire storm event occurs. Total flow shall be either; (a) measured continuously, (b) calculated based on the amount of area draining to the outfall, the amount of built -upon (impervious) area, and the total amount of rainfall, or (c) estimated by the measurement of flow at 20 minute intervals during the rainfall event. Part VI Page 4 of 5 Pages Permit No. NCS000030 31. Total Maximum Daily Load (TMDL) A TMDL is a calculation of the maximum amount of a pollutant that a waterbody can receive and still meet water quality standards, and an allocation of that amount to the pollutant's sources. A TMDL is a detailed water quality assessment that provides the scientific foundation for an implementation plan. The implementation plan outlines the steps necessary to reduce pollutant loads in a certain body of water to restore and maintain water quality standards in all seasons. The Clean Water Act, section 303, establishes the water quality standards and TMDL programs. 32. Toxic Pollutant 33 34 35 36. Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act. upset Means an exceptional incident in which there is unint technology based permit effluent limitations because permittee. An upset does not include noncompliance designed treatment or control facilities, inadequate tri maintenance, or careless or improper operation. , Vehicle Maintenance Activity nd temporarynoncompliance with `beyond the -reasonable control of the tent c used�by operational error, improperly �r, control facilities, lack of preventive Vehicle rehabilitation, mechanical repairs,!painting fueling, lubrication, vehicle cleaning operations, or airport deicing operations. 2 'f ;4 Visible Sedimentation Solid particulate matter, both mineral and organic, that has been or is being transported by water, air, gravity, or ice from its site of origin�'hich can be seen with the unaided eye. The maximum 24-hour precipitation event expected to be equaled or exceeded, on the average, once in 25 years. Part VI Page 5 of 5 Pages